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State Exchanges View All →

Implementing Health Reform: 2016 Benefit And Payment Parameters Proposed Rule, Consumer Provisions; Hardship Exemptions

2 days ago

On November 15, 2014, the marketplaces reopened for 2015.  Anecdotal reports indicate that in most places enrollment and reenrollment are running smoothly.  But the Centers of Medicare and Medicaid Services (CMS) of the Department of Health and Human Services (HHS) is looking forward to 2016.

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Obamacare Users Would Move to Low-Cost Plans Under US Proposal

2 days ago

Obamacare customers who choose to re-enroll in insurance plans would automatically default to cheaper coverage during sign-up periods, protecting them from price increases, under rules proposed by the U.S. government.

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A State-by-State Look at Marketplaces

6 days ago

The District of Columbia and 13 states are hosting their own exchanges. Here’s how they’re doing.

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2014 Enrollment in State-Run SHOP Exchanges ‘Lower Than Expected’

6 days ago

Enrollment in the state-run small business exchanges in 17 states and Washington, D.C.,  created under the Affordable Care Act was “significantly lower than expected” during the initial open enrollment period.

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Health plan choices and premiums increase on HealthCare.gov

7 days ago

People shopping on the HealthCare.gov marketplace that reopened Saturday have more options this year than they did last year, but the options usually will be costlier.

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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

5 days 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 week 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

3 weeks 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

3 weeks 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

3 weeks 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 →

Costly Care at Hospital Practices

24 hours 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

5 days ago

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

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Kaiser launches clinics in Target stores

5 days ago

Kaiser Permanente has its clinical cross-hairs trained on a few local Target stores to test its aim at caring for patients in a retail setting.

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Accountable Care Organizations: Good in Theory, Slow to Catch on

2 weeks ago

The phrase “accountable care organization” (ACO) was coined in 2006. But it didn’t really start gaining currency until three years later when the concept was specifically addressed in the Affordable Care Act (ACA).

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Pitfalls in ACO design

2 weeks ago

Physician partners, data systems, and assignment of risk all play an important part in the care and feeding of ACOs.

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Insurers View All →

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

4 days 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 days 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

6 days 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

3 weeks 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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Does your employer really care about your ‘wellness’? Maybe not

3 weeks ago

A federal judge in Minneapolis on Monday refused to block Honeywell International from imposing penalties on workers who refuse to participate in a workplace “wellness” program, denying a request for an injunction by the Equal Employment Opportunity Commission.

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