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State Exchanges View All →

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

3 weeks 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

4 weeks 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

1 month 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

1 month 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

1 month 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 →

Medicaid in an Era of Health & Delivery System Reform: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2014 and 2015

6 days ago

The findings in this report are drawn from the 14th annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by the Kaiser Commission on Medicaid and the Uninsured and Health Management Associates (HMA), with the support of the National Association of Medicaid Directors.

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Medicaid Backlogs Could Worsen as Health-Law Sign-Ups Resume

1 week ago

Hundreds of thousands of people who signed up for Medicaid months ago still don’t have coverage, a problem that could worsen when insurance sign-ups under the Affordable Care Act restart next month.

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As Obamacare Pays Medical Bills, Red States Pressured On Medicaid

3 weeks 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 weeks 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

3 weeks 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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Emerging Healthcare Models View All →

UnitedHealth’s Latest Blow To Fee-For-Service Medicine: 6 Percent Off Doctor Costs

2 weeks ago

As the Affordable Care Act, government and private insurers push doctors and hospitals away from fee-for-service medicine, the nation’s largest insurer, says it’s seeing more results.

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Capitated payments more acceptable to providers, survey finds

2 weeks ago

A survey of 39 health plans released this week adds to mounting evidence that hospitals and medical groups are getting comfortable with incentive-based payment structures that reward quality and lower costs.

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Florida Blue and Baptist Health Care Corporation Form Accountable Care Arrangement

1 month 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

1 month 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

1 month 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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Insurers View All →

Administration Signals Doubts About Calculator Permitting Plans Without Hospital Benefits

4 days ago

Insurance consultants were shocked recently to learn that Obama administration rules allow large companies to offer 2015 worker health plans that don’t include hospital benefits. Now the administration is concerned too.

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ACA’s ‘Cadillac’ Excise Tax Will Hit Lower Cost Health Plans, Practitioners Say

5 days ago

The Affordable Care Act’s excise tax that starts in 2018 should be called the “Camry” tax—not the “Cadillac” tax—because it is going to affect more than just high-cost plans, a practitioner said at a conference on employee benefits.

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Modest Premium Hikes, Higher Consumer Costs Likely For Job-Based Plans

6 days ago

Fall is enrollment season for many people who get insurance through their workplace. Premium increases for 2015 plans are expected to be modest on average, but the shift toward higher out-of-pocket costs overall for consumers will continue as employers try to keep a lid on their costs and incorporate health law changes.

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More Employers Shifting Health To Private Exchanges

2 weeks ago

Aon Hewitt (AON) said its private exchange enrollment will grow by 60 percent to 1.2 million enrollees in 2015 as more companies give workers a credit to buy health coverage in an online marketplace.

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Wal-Mart to end health insurance coverage for some part-time workers

2 weeks ago

Wal-Mart said Tuesday that it would eliminate health insurance coverage for about 30,000 of its part-time workers, a move that the nation’s largest retailer says is aimed at slashing its rising health-care costs.

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