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State Exchanges View All →

Obamacare Exchanges Attracting Younger Customers, Insurers Say

6 days ago

As health insurance companies tally up the second year of enrollment of individuals from public exchanges under the Affordable Care Act, they are noticing younger customers that tend to submit fewer medical claims.

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Cancer hospitals participating in at least some exchange plan networks

2 weeks ago

Most specialized cancer hospitals say they participate in the narrow provider networks of some exchange health plans, but health insurers have not been shy keeping some cancer hospitals out, according to a new survey from consulting firm Avalere Health.

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Challenges Facing “Narrow” Provider Networks on the ACA Health Care Insurance Exchanges

2 weeks ago

The Driving Forces Behind the Trend Toward Narrower Networks.

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5 states where PPACA exchange silver plan costs soared

2 months ago

Active bargain hunters who were willing to change health plans could get good prices for coverage from the typical Patient Protection and Affordable Care Act public exchange-except in 5 states.

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HHS: More Than 1M Exchange Enrollees Chose New Plans for 2015

2 months ago

More than one million U.S. residents who signed up for exchange plans this year selected new coverage, which the Obama administration said could help to keep down premium costs.

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Looking for Affordable Care Act activity for a particular state? Select here to find out what's going on:

Medicaid View All →

Hospitals reap rewards of Medicaid expansion

6 days ago

Kaiser Family Foundation study: Multi-hospital system reports revenue up, charity care down in states that expanded the program.

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Economy boosts safety-net hospitals in states not expanding Medicaid

2 months ago

Hospitals that treat many poor and uninsured patients were expected to face tough financial times in states that did not expand Medicaid under the Affordable Care Act.  But in some of the largest states that did not expand Medicaid, many “safety net” hospitals fared pretty well last year — better than in 2013 in many […]

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More States Lean Toward Medicaid Expansion

3 months ago

In accepting Indiana’s Medicaid Expansion plan, the Obama administration demonstrated its determination to increase the number of expansion states, even if it means waiving traditional Medicaid rules.

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3.2 Million Newly Eligible Adults Enrolled In Medicaid In Early 2014, CMS Reports

3 months ago

The CMS is taking a deep data dive into Medicaid enrollment data to uncover just how many new adults have joined the state programs since the Affordable Care Act motivated many states to expand eligibility last year.

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Medicaid Reimbursement Increases Under ACA Boost Access

3 months ago

A temporary increase in reimbursements under the Affordable Care Act for primary care physicians who treat Medicaid beneficiaries resulted in easier access to appointments, according to a study published Wednesday in the New England Journal of Medicine.

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Emerging Healthcare Models View All →

Insurance Covers Four In Five Visits To CVS And Walgreen Clinics

5 days ago

Insurance coverage for retail health clinics, once a cash-only proposition, now accounts for more than four in five visits reimbursed at such centers run by CVS Health (CVS) and Walgreens Boots Alliance (WBA).

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Health Insurance Shoppers Look to Limited Networks to Save Money

3 weeks ago

In all the turmoil in health care, one surprising truth is emerging: Consumers seem increasingly comfortable trading a greater choice of hospitals or doctors for a health plan that costs significantly less money.

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Are State Innovation Waivers the Future of Health Care Reform?

1 month ago

Beginning in 2017, states will be able to apply for waivers for flexibility in implementing many of the Affordable Care Act’s key requirements — an opportunity that some see as a catalyst for health reform.

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New tiered health network coming to New England

1 month ago

Lifespan, the largest health system in Rhode Island, and Tufts Health Plan are launching a tiered provider network, an approach that executives believe will control healthcare costs.

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A Medicaid ACO?

2 months ago

Medicare ACOs-would such a model work for Medicaid?

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Insurers View All →

Assurant Health to be sold or closed

1 week ago

With Milwaukee-based Assurant Health continuing to bleed red ink, its parent company announced in a Tuesday news release it will either sell the health insurer or exit the health insurance business.

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Here’s why carriers are forced to sink or swim in a post-PPACA market

4 weeks ago

The traditional healthcare business is fading into the sunset, along with its complex product structures, incomprehensible reimbursement models, and confusing industry jargon. A new day is dawning, and opportunities abound for the players that are prepared to pursue them.

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Insurers show greater compliance with medical loss ratio

1 month ago

Rebates that insurers owe patients are dropping, Commonwealth Fund finds

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Employers Warm To Obamacare, Stick With Coverage

1 month ago

Five years after employers were considering terminating health coverage due to costs and other issues related to the Affordable Care Act, companies have largely changed their tune as fears have not been realized, according to a new analysis.

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Implementing Health Reform: Wraparound Benefits Final Rule; Coverage Report

2 months ago

With open enrollment closed for 2015 and the Departments having finalized the Benefit and Payment Parameters Rule and Letter to Issuers for 2016, we have entered the Spring Affordable Care Act regulatory doldrums.  This post addresses the final wraparound coverage excepted benefits rule, and a report on health insurance coverage and the ACA (technical appendix here), […]

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