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State Exchanges View All →

Here’s What’s Going On With Obamacare Premium Increases

2 days ago

The good news is that available information indicates the doomsayers were wrong, and premiums under President Barack Obama’s health care law aren’t going through the roof.

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‘Copper’ Exchange Plans Could Save Money, Boost Enrollment

3 days ago

Adding “copper” plans to the menu of options sold through the Affordable Care Act’s insurance exchanges starting in 2016 would result in 350,000 additional U.S. residents enrolling in coverage and $300 million in deficit reduction over 10 years, according to a report by Avalere Health.

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Report: Cost of HealthCare.Gov Approaching $1 Billion

3 weeks ago

GAO Report places cost overrun blame squarely on the shoulders of the federal government.

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United Healthcare to Expand Presence in ACA Health Insurance Exchanges

1 month ago

Last week, United Healthcare (UnitedHealth Group, UHN), announced it would expand into the Health Insurance Exchanges (“Marketplaces”) in as many as 24 states in 2015, up from only five this year.

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Hospitals, Insurers Say Subsidies Rulings Further Confuse the Issue

1 month ago

Health-industry officials said Tuesday’s dueling court rulings over federal health-law subsidies set the stage for another bout of confusion as consumers return to marketplaces this fall to shop for next year’s coverage.

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Medicaid View All →

Without Medicaid expansion, some hospitals suffer

1 week ago

Across the country, hospitals in Medicaid expansion states are seeing deep reductions in their uninsured volume and the amount of uncompensated care they deliver. That’s not happening in nonexpansion states, which is why hospital leaders in those states continue to push elected officials to accept federal Medicaid money to cover more of their residents.

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Red States Pressured To Expand Medicaid As Care Contrasts Emerge

2 weeks ago

Pressure is building on states to go along with the expansion of Medicaid benefits under the Affordable Care Act as new studies and financial reports from health care companies point out stark differences between states treating more poor Americans and those that aren’t.

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New Medicaid enrollments top 7 million under Obamacare

2 weeks ago

More than seven million Americans have gained health coverage through government programs including Medicaid since enrollment in Obamacare health insurance was launched October 1, the U.S. administration said on Friday.

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Why Red States Will Expand Medicaid, Like It or Not

3 weeks ago

Across the country, the bulk of uninsured adults now live in states that didn’t expand Medicaid eligibility, a separate report from the Urban Institute this week shows.

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6 States, DC Extending Medicaid Pay Raise Next Year To Primary Care Doctors

3 weeks ago

Just six states and the District of Columbia will use their own money in 2015 to sustain the federal Medicaid pay raise to primary care doctors, which was a key provision of the Affordable Care Act intended to make sure millions of low-income people enrolling in the expanding insurance program have access to a physician.

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Emerging Healthcare Models View All →

Medical-home adoption growing; evidence of effectiveness still elusive

4 days ago

Primary care is a foundation of healthcare reform efforts, and patient-centered medical homes are one of the delivery system innovations encouraged by the Patient Protection and Affordable Care Act. But recent studies present a mixed picture of their effectiveness.

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50 things to know about 5 leading payers

1 week ago

Here are 50 things to know about Aetna, Cigna, Humana, UnitedHealth Group and WellPoint — five leading health insurers in the U.S.

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The 4 Biggest Obstacles ACOs Face

1 week ago

To date, ACOs have accounted for measurable quality improvements and a reported $380 million in savings. Despite some movement, progress remains slow and inconsistent.

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In Ambitious Bid, Walmart Seeks Foothold in Primary Care Services

2 weeks ago

Walmart, the nation’s largest retailer, has spent years trying to turn some of its millions of customers into patients, offering a simple menu of medical services that consumers can buy along with everything from a bag of chips to a lawn mower. Now, the store is making an aggressive push to become a one-stop shopping […]

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Michigan Blues medical homes create dramatic savings

4 weeks ago

A transformation of care statewide” is underway as 1,422 physician practices, comprising of 4,022 primary care physicians, are now operating within Patient-Centered Medical Homes.

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Insurers View All →

Humana Forms ACO with Health Choice to Boost Patient Care

3 days ago

Humana has penned another ACO deal-this time, it is with one of the divisions of IASIS Healthcare: Health Choice Preferred Network.

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The Evolution Of A Two-Tier Health Insurance Exchange System

7 days ago

Many employers are reevaluating their coverage offerings, some employers are no longer providing insurance coverage, and, among those who continue to offer it, high deductible plans with restricted networks are becoming the norm.

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MLR Rule a Baby Step Toward Spending Reductions

1 week ago

The medical loss ratio, also known as the 80/20 rule, is trimming spending by payers. But the fate of the nation’s drive to cut healthcare costs rests in the hands of the biggest spenders—providers.

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Insurers look to hike Obamacare premiums by an average of 8%

1 week ago

Insurers in more than half of all states have submitted Obamacare rate-hike requests for 2015, and it looks like the typical premium increase will be slightly north of 8%, according to a report released Tuesday by PricewaterhouseCoopers.

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Automatic enrollment proves controversial

2 weeks ago

Newly hired employees who don’t sign up for health insurance on the job could have it done for them under a health law provision that may take effect as early as next year.  But the controversial provision is raising questions: Does automatic enrollment help employees help themselves, or does it force them into coverage they […]

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