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State Exchanges View All →

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

4 days 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

5 days 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

2 weeks 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

2 weeks 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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Pitfalls emerge in health insurance renewals

2 weeks ago

For the 8 million people who persevered through all the technical travails in the new health insurance exchanges and managed to sign up for coverage in 2014, their policies will probably automatically renew come November when open enrollment begins.

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Medicaid View All →

As Obamacare Pays Medical Bills, Red States Pressured On Medicaid

2 days ago

A new report showing the continued pileup of unpaid medical bills in states that didn’t expand Medicaid under the Affordable Care Act is escalating criticism on these Republican-led areas of the country to expand the health insurance program for the poor.

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For Many New Medicaid Enrollees, Care Is Hard to Find, Report Says

3 days ago

Enrollment in Medicaid is surging as a result of the Affordable Care Act, but the Obama administration and state officials have done little to ensure that new beneficiaries have access to doctors after they get their Medicaid cards, federal investigators say in a new report.

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Obamacare could see second wave of Medicaid expansion

4 days ago

One of the most highly contentious Obamacare programs, which calls on states to expand their publicly-funded healthcare for the poor, could see a second wave of participation by U.S. states later this year or early in 2015, according to state officials and independent analysts.

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More Proof That Anti-Obamacare States Desperately Need Obamacare

7 days ago

In a lot of big urban areas where a large share of residents lack health insurance, help isn’t on the way.  Seven of the 11 large metro areas where the uninsured rate was higher than the 14.5 percent national average last year are located in states that refused to expand Medicaid under the Affordable Care […]

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New Medicaid Enrollees Unsure How To Use Coverage, Study Finds

1 week ago

Millions of U.S. residents who gained Medicaid coverage through the Affordable Care Act’s Medicaid expansion might not understand how to use their new coverage, according to focus group finding.

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Emerging Healthcare Models View All →

Florida Blue and Baptist Health Care Corporation Form Accountable Care Arrangement

2 weeks 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

2 weeks 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

2 weeks 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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Hospital-Employed Physicians Drive Up Costs, Say 16 States

3 weeks ago

The attorneys general (AGs) of 16 states warn that hospital employment of physicians, which is considered in many quarters to be the inevitable fate of medical practice, is driving up healthcare costs without necessarily improving the quality of care.

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Checking in on ACA Care Models: Where ACOs and PCMHs Stand

3 weeks ago

The Affordable Care Act seeks to make the transition from fee-for-service models to newer, more innovative payment models that focus on prevention and improving the quality of care while reducing costs.   Two of the center’s innovation models — accountable care organizations and patient-centered medical homes — are driving this transition.

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Insurers View All →

Debate Grows Over Employer Plans With No Hospital Benefits

4 days ago

As companies prepare to offer medical coverage for 2015, debate has grown over government software that critics say can trap workers in inadequate plans while barring them from subsidies to buy fuller coverage on their own.

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In twist on medical-loss ratio, insurers back health startups

5 days ago

Insurers are pumping money into digital health startups–a sector that’s raising record amounts of cash.

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Voluntary benefits could hold key to health care reform excise tax

5 days ago

Some U.S. employers are beginning to use voluntary medical benefit plans to minimize the prospects of sharp health care cost increases in the coming years as a result of health care reform.

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Nearly Half of U.S. Employers Expected to Hit the Health Care “Cadillac” Tax in 2018 with 82% Triggering the Tax by 2023

5 days ago

Despite continuing efforts to rein in rising health care costs, roughly half of large U.S. employers will begin to hit the excise tax in 2018 and the percentage is expected to rise significantly in subsequent years, according to an analysis of large employer health care programs conducted by global professional services company Towers Watson.

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Health Law tempers new State Coverage Mandates

2 weeks ago

For decades, states have set rules for health coverage through mandates, laws that require insurers to cover specific types of medical care or services. Now they’re adding language to sidestep the health law, making it tougher than ever for consumers to know whether they’re covered or not.

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