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State Exchanges View All →

Will Obamacare Cover That? Depends on Where You Live

1 week ago

The benefits offered by health plans created under the Affordable Care Act are all over the map.

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Obamacare’s small business exchanges offer cheaper health coverage, study shows

1 month ago

It appears, based on one new study, that the exchanges are delivering on lower premiums than comparable provate market options.

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U.S. states to get more insurers under Affordable Care Act

1 month ago

Most states will have at least one more insurer selling health plans under the Affordable Care Act in the second year of the program’s full implementation, the Obama administration said.

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Most With Marketplace Health Insurance Say They Can Afford Premiums

1 month ago

New Commonwealth Fund Report: Most People with ACA Marketplace Health Insurance Say They Can Afford Premiums; Lower-Income Adults Report Costs Similar to Employer Coverage.

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Health Care Act Still Covers 7.3 Million

1 month ago

The Obama administration said Thursday that 7.3 million people who bought private health insurance under the Affordable Care Act had paid their premiums and were still enrolled.

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Medicaid View All →

Even Without Red States, Obamacare’s Medicaid Growth On A Roll

6 days ago

Enrollment in the expanded Medicaid insurance program for poor Americans is growing rapidly, with projections for at least another 13 million signing on to private insurers who contract with the government to provide the benefits under the Affordable Care Act.

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Providers and plans target big push to boost Medicaid enrollment

7 days ago

One of Obamacare’s biggest success stories this year was that millions of previously uninsured Americans got coverage through the law’s expansion of Medicaid to low-income adults.

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Beyond the ‘Private Option’ for Medicaid Expansion

7 days ago

Less than a year after low-income Arkansans started receiving health coverage under the Affordable Care Act’s controversial Medicaid expansion, the state is declaring its so-called “private option” experiment a success.

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Medicaid Managed Care Enrollment Expected to Increase by 13.5 Million by 2016

1 week ago

According to a report from Avalere Health enrollment of Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries in managed care is projected to increase by 13.5 million by 2016. In total, managed care enrollment will increase from a previous 67% of Medicaid and CHIP enrollees in 2013 to 76% in 2016.

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CMS Proposes 2016 Basic Health Program Payment Plan

1 week ago

CMS in a proposed notice released Tuesday outlined its plan to reimburse states for the Affordable Care Act’s Basic Health Program in 2016.

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Emerging Healthcare Models View All →

UnitedHealth’s Latest Blow To Fee-For-Service Medicine: 6 Percent Off Doctor Costs

4 weeks ago

As the Affordable Care Act, government and private insurers push doctors and hospitals away from fee-for-service medicine, the nation’s largest insurer, says it’s seeing more results.

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Capitated payments more acceptable to providers, survey finds

4 weeks ago

A survey of 39 health plans released this week adds to mounting evidence that hospitals and medical groups are getting comfortable with incentive-based payment structures that reward quality and lower costs.

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Florida Blue and Baptist Health Care Corporation Form Accountable Care Arrangement

1 month ago

Through this arrangement, the organizations plan to improve the patient experience by enhancing the coordination of care between BHC and Florida Blue.

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If Boeing Strategy Flies, Health Insurers as Middlemen Will Soon Be History

1 month ago

Boeing, the world’s largest aerospace company and one of the Seattle area’s largest employers, announced that it has decided to forego the services of an insurance company and to contract directly with two of the Northwest’s largest hospital systems to provide care to its 27,000 employees and 3,000 retirees in the region.

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New Anthem network makes business case for HMO-ACO hybrid

1 month ago

Anthem Blue Cross Vivity, the newly announced joint venture among WellPoint subsidiary Anthem and seven prominent Southern California providers, will blend both the past and future as its planned HMO-like structure also looks to implement elements found in today’s accountable care organizations.

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Insurers View All →

Insurers’ Consumer Data Isn’t Ready for Enrollees

4 days ago

With health insurance marketplaces about to open for 2015 enrollment, the Obama administration has told insurance companies that it will delay requirements for them to disclose data on the number of people enrolled, the number of claims denied and the costs to consumers for specific services.

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Aetna, Sam’s Club project signals continuing shift toward private exchanges

6 days ago

A new health insurance exchange announced Thursday by a large retailer is betting that analysts who predict that roughly 40 million people will buy their health plans through a private online marketplace by 2018 are right.

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Essential benefit requirements vary widely among states

6 days ago

States require insurers to include a wide array of essential health benefits in their plans, making it challenging for insurers to sell plans across state lines, according to a new report from the Robert Wood Johnson Foundation.

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How ACA Insurance Market Reforms Could Affect Large Employers

7 days ago

Many large employers believe they are exempt from most of the new insurance market reforms enacted under the Patient Protection and Affordable Care Act (ACA). However, beginning in 2017, the ACA allows a State to elect to permit the sale of fully-insured large group health plans through the newly created ACA Exchange operating within the […]

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Administration Signals Doubts About Calculator Permitting Plans Without Hospital Benefits

2 weeks ago

Insurance consultants were shocked recently to learn that Obama administration rules allow large companies to offer 2015 worker health plans that don’t include hospital benefits. Now the administration is concerned too.

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