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State Exchanges View All →

CBO sees relatively modest premium hikes for Obamacare benchmark plan

4 days ago

The average premium for an Obamacare benchmark plan will rise slightly in 2015 and increase about 6 percent a year during the rest of this decade, the nonpartisan Congressional Budget Office (CBO) said on Monday in a report the White House trumpeted as proof its healthcare reform was working.

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Obamacare 2015 Rate Hikes May Soon Come Into View

4 days ago

Beginning this week, when health insurance companies begin reporting their first quarter earnings, consumers and investors will begin to know whether — and possibly how much — premiums will rise in 2015 for plans sold on marketplaces under the Affordable Care Act.

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Health Secretary Resigns After Woes of HealthCare.gov

8 days ago

Kathleen Sebelius, the health and human services secretary, is resigning, ending a stormy five-year tenure marred by the disastrous rollout of President Obama’s signature legislative achievement, the Affordable Care Act.

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Obamacare sign-ups now exceed 6 million

21 days ago

More than 6 million Americans have signed up for private health insurance under the ­Affordable Care Act, the White House announced Thursday, ­reflecting a surge in enrollment after months of technical problems prevented many people from picking a plan.

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Taking Stock of SHOP Insurance Marketplaces for Small Businesses

21 days ago

The Small Business Health Options Program (SHOP) under the Affordable Care Act enables businesses with 50 or fewer employees to purchase private health insurance for their employees, and employers with fewer than 25 employees and lower-wage workforces to earn a tax credit for doing so.

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Medicaid View All →

Losing Patience, and Patients, With Medicaid

7 days ago

Most doctors in private practice lose money on Medicaid patients, because the program pays less than commercial health plans or Medicare, the federal insurance program for Americans over 65. Many physicians already don’t accept Medicaid, and millions of new enrollees clamoring for appointments will strain those who do.

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Analysis: Majority of New Medicaid Beneficiaries Live in 10 States

9 days ago

Ten states accounted for more than 80% of the three million new enrollees in Medicaid who signed up under the Affordable Care Act, according to an Avalere Health analysis of new CMS data, the Washington Times reports.

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The States That Agreed To Expand Medicaid Are Seeing A Huge Jump In Enrollments

13 days ago

Nearly four and a half million low-income Americans who were looking for coverage during Obamacare’s open enrollment period have gained access to public health insurance under the law’s expansion of Medicaid, according to data from the Health and Human Services Department.

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Michigan and Wisconsin highlight divide on Medicaid expansion

15 days ago

While the health care world was fixated yesterday on the end of Obamacare open enrollment, Tuesday also marked the beginning of a new Medicaid era for two neighboring states that took very different approaches to the law’s expansion of coverage for low-income individuals.

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The Six States That Can’t Decide on Medicaid Expansion

28 days ago

A small handful of states remain in negotiations with themselves and the federal government over if and how to expand Medicaid under the Affordable Care Act.

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Emerging Healthcare Models View All →

Co-op Health Insurance Plans See Early Success

15 days ago

The names of the big health insurance companies are familiar – Blue Cross, Aetna, United Healthcare. But what about CoOportunity Health, or Health Republic Insurance of New York?  These are among 23 new health insurance companies that started under the Affordable Care Act.

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For Obamacare Co-Ops, Teamwork Is a Survival Strategy

15 days ago

Some yet-to-be-determined sliver of the 7.1 million people who got health insurance on the federal exchange picked plans from co-ops. In each state these nonprofit startups face different competitors and market conditions and even get their referrals from enrollment exchanges of varying competence.

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Aetna, Cigna, Humana reveal new accountable care strategies

15 days ago

Three of the nation’s top health insurers have unveiled plans for expanding their efforts around care coordination and quality improvements.

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Narrow Networks Under The ACA: Financial Drivers And Implementation Strategies

20 days ago

The ability of consumers to engage in a side-by-side comparison of plans on the individual and small employer (SHOP) Exchanges incentivizes insurers to compete on premium price like never before.

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Don’t Rush to Judgment: Medical Homes Can Improve Outcomes, Save Lives

28 days ago

When it comes to health care and decisions that affect the well-being of millions of Americans, immediacy shouldn’t guide reforms or drive policy changes.  This perspective is essential when reviewing a study, conducted by researchers at RAND, which casts doubts as to whether patient-centered “medical homes” are actually meeting their goals of improving patient health [...]

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Insurers View All →

Insurer Push on Obamacare Premiums Tops Burwell Challenge

5 days ago

The first challenge Sylvia Mathews Burwell may face as the nation’s top health official could come from the insurance industry.

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It’s Official: No Deductible Caps in Small-Business Health Plans

8 days ago

Tucked inside the so-called Medicare “doc fix” bill — must-pass legislation to forestall steep cuts in payments to doctors — that President Obama recently signed was a separate provision that removed restrictions on deductibles in small-business health plans.

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Humana Forms Another ACO

12 days ago

U.S. health insurer Humana Inc. has formed another Accountable Care relation with Mercy. The program intends to benefit Humana’s Medicare Advantage members in the Southwest Missouri area.

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Insurers Push to Enroll People as Health Care Deadline Nears

24 days ago

As the end of the month nears, insurers are scrambling to sign up holdouts, using all sorts of marketing tools.

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Insurers see double-digit Obamacare price rises in many states next year

27 days ago

U.S. consumers eligible for Obamacare health plans could see double-digit price hikes next year in states that fail to draw large numbers of enrollees for 2014.

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