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State Exchanges View All →

With more plans available, prices rising, HHS urging exchange customers to shop around

1 week ago

With health insurance premiums on the rise, government officials are stressing the importance for consumers to shop around to ensure they get the best deal.

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Big Changes in Fine Print of Some 2015 Health Plans

1 week ago

Millions of people nationwide bought health insurance this year through the federal government’s health insurance exchange, often through the website Healthcare.gov. Now, as they pick plans for next year, they face a complex battery of choices.

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CMS invites states to change ACA benchmark plans for 2017

2 weeks ago

The federal government is letting states choose a different essential health benefits (EHB) benchmark plan for 2017, and this news may re-ignite public debate about what types of services health insurance should cover in plans sold pursuant to the Affordable Care Act.

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CMS: States can switch PPACA benchmark plans in 2017

2 weeks ago

Insurers, provider groups and patient groups are gearing up for a new round of fighting over the products and services a major medical insurance policy ought to cover.

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More competition means some Obamacare premiums rising little in 2015

3 weeks ago

A surge in health insurer competition appears to be helping restrain premium increases in hundreds of counties next year, with prices dropping in many places where newcomers are offering the least expensive plans, according to a Kaiser Health News analysis of federal premium records.

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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 →

Medicaid expansion news from 4 states

4 weeks ago

Recent news reports describe the challenges of reforming Medicaid in California, Indiana, Montana and Pennsylvania and what these states are doing in response.

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How Health Law’s Medicaid Enrollees Strain the System

1 month ago

Many low-income Americans have gained coverage, but their numbers are straining some health-care systems.

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DSH payment cuts could shutter 225 hospitals

1 month ago

The ongoing cuts in disproportionate share hospital (DSH) payments as part of the Affordable Care Act (ACA) could lead to as many as 225 hospitals closing around the country, according to a new study.

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Who Would Have Health Insurance if Medicaid Expansion Weren’t Optional

1 month ago

A new data set suggests that more than three million people would have gained health insurance across 24 states if the Supreme Court had ruled differently.

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

2 months 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.

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Emerging Healthcare Models View All →

Humana Signs Accountable Care Deal with Banner Network

2 weeks ago

Humana recently entered into a new Accountable Care agreement with Banner Network Colorado (BNC), an integrated provider delivery network in North Colorado.

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Summit, Humana to form ACO in Tennessee

3 weeks ago

Louisville, Ky.-based Humana and Knoxville, Tenn.-based Summit Medical Group announced a seven-year agreement to create an accountable care organization in East Tennessee for Humana Medicare Advantage beneficiaries, effective Jan 1.

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Humana Inks Accountable Care Deal with MultiCare Health

3 weeks ago

Humana has created and Accountable Care initiative with MultiCare Health System for Medicare Advantage (MA) members of Humana in South King and Pierce Counties, WA.

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Costly Care at Hospital Practices

3 weeks ago

Patients in physician practices owned by large hospitals and multi-hospital delivery systems had higher expenditures for care than patients in practices owned by the physicians themselves, a new study has found.

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Urgent Care Finds Its Place In the Age of ACOs

4 weeks ago

Plans and health systems are collaborating with walk-in centers to keep patients out of the ERs.

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Insurers View All →

Health insurance markets dominated by oligopolies before Obamacare

2 weeks ago

A select few health insurance companies control a large portion of the individual and employer markets in each state, a new report from the Government Accountability Office finds. But it’s unclear how Obamacare will affect those figures, as more insurers rush to give people more health plan options.

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Employers to stick with health plan designs in 2015; add wellness incentives

4 weeks ago

Very few employers are planning to make drastic changes to their group health benefit plans in 2015, opting instead to add incentives to workplace wellness programs in order to help hold down rising medical costs, according to survey data released on Wednesday.

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Half Of Employers Pushing High Deductible Plans Onto Workers

4 weeks ago

Almost half of the nation’s large employers are offering a consumer-directed health plan, which uses a high deductible strategy that is designed in part to make workers think twice before choosing an expensive and potentially unnecessary treatment or procedure.

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Health Law Turns Obama and Insurers Into Allies

4 weeks ago

Since the Affordable Care Act was enacted in 2010, the ACA has been a boon to the nation’s largest private health plans and led to a profitable surge in their Medicaid enrollment.

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Obama administration closing loophole that allowed substandard health-care plans

1 month ago

Closing what many see as a loophole that could trap millions of people in substandard insurance, the Obama administration said Tuesday that large-employer medical plans lacking hospital coverage will not qualify under the Affordable Care Act’s toughest standard.

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