Follow Health Care Reform Insider on Twitter

State Exchanges View All →

If New Obamacare Patients Are Healthy, Insurance Market Steadies

2 weeks ago

The surprising surge in Americans signing up for individual coverage under the Affordable Care Act could help insurance companies rebound in 2017 from a down year that triggered big rate increases.

Read More →

CMS finalizes 2018 exchange rules ahead of Trump administration

4 weeks ago

The CMS has made a handful of final changes to the Affordable Care Act’s health insurance marketplaces for 2018, just a little more than a month before Donald Trump takes over the White House and congressional Republicans move to repeal the healthcare reform law.

Read More →

Obamacare Enrollment Is Beating Last Year’s Early Pace

4 weeks ago

Despite the Affordable Care Act’s rising prices, decreased insurer participation and a vigorous political threat to its survival, consumer enrollment for 2017 is outpacing last year’s, according to new federal data and reports from state officials around the country.

Read More →

The state of the ACA’s risk corridors

1 month ago

The Obama administration is now on the hook for more than $8 billion in payments to cover insurer losses on the health insurance exchanges, but industry experts are growing doubtful the full tab will ever be paid.

Read More →

Fewer Choices and Higher Premiums in the Affordable Care Act’s Exchanges

3 months ago

People shopping around on the insurance exchanges when the Affordable Care Act’s Open Enrollment period begins next week will find that the choices they have are limited and that insurance premiums have gone up significantly.

Read More →

Looking for Affordable Care Act activity for a particular state? Select here to find out what's going on:

Medicaid View All →

Economic Effects of Medicaid Expansion in Michigan

7 days ago

Continuing Michigan’s Medicaid expansion in 2017 and beyond will have clear economic benefits for the state.

Read More →

Under the ACA, the Cost of Caring for the Uninsured Decreased for Hospitals

2 weeks ago

The benefit has come only in states that expended Medicaid.

Read More →

The opportunity in CMS’ dual-eligibility ACO model

4 weeks ago

Accountable care organizations and their advocates welcomed an announcement from the CMS Thursday that the federal agency was creating a new model to serve a group of patients often considered the sickest and most expensive.

Read More →

Medicaid ACOs: Innovation Follows the Brave

1 month ago

Intensive case management and understanding the impact of social needs on health set Medicaid ACOs apart from their counterparts. Meet two organizations that are changing the ACO model.

Read More →

CMS renews key Medicaid waivers in New York and Arkansas

1 month ago

New York’s Medicaid waiver, which allows the state to have most of its Medicaid population in managed care, will continue through 2021.

Read More →

Emerging Healthcare Models View All →

CPSI Launches Rural ACOs in Partnership with Caravan Health

7 days ago

Healthcare solutions leader CPSI today announced the creation of the CPSI Rural Accountable Care Organizations (“ACOs”) in partnership with Caravan Health. 

Read More →

Blue Cross Health Plans Expand Value-Based Care Reimbursement

2 weeks ago

Multiple Blue Cross Blue Shield health plans around the country have been investing time and resources in advancing value-based care reimbursement.

Read More →

Abbott’s St. Jude Deal Aligns With Shift To Value-Based Care

2 weeks ago

The Federal Trade Commission’s approval of Abbott Laboratories $25 billion purchase of St. Jude Medical sets the larger company up for value-based care and bundled payments to doctors and hospitals.

Read More →

UnitedHealth Group Adopts Bundled Payment Models for Surgeries

1 month ago

Another national health payer – UnitedHealth – has contracted through a bundled payment model to lower costs of hip, knee, and spine surgeries.

Read More →

Analysis: Missed ACO Savings Due to Lack of Collaboration

1 month ago

Most successful ACOs “shamelessly steal” ideas from others, says the CMO of outpatient services and ACO strategy at Methodist Health System. Her organization belongs to at least seven collaboratives.

Read More →

Insurers View All →

Humana, Aetna, Cigna Invest in Value-Based Care Payment Models

2 weeks ago

National health insurers are continuing to advance value-based care payment models such as accountable care organizations.

Read More →

MACRA Pushes Payers to Adopt Value-Based Care Payment Models

4 weeks ago

With providers focused on meeting MACRA regulations, commercial payers are investing in value-based care payment models that align with the quality payment program.

Read More →

UnitedHealthcare Pioneers National ACO Product; NexusACO Expands Access to Quality Care and Lowers Costs

1 month ago

New plan design is built around UnitedHealthcare’s relationships with accountable care organizations (ACOs) and Tier 1 physicians.

Read More →

Humana Serves 63% of Members through Value-Based Care Payment

2 months ago

Health payers are finding the rapid pace to transition to value-based care payment models difficult.

Read More →

Humana Distributes More Than $93 Million in Quality Payments to Providers Nationwide

2 months ago

Approximately 4,465 provider groups in value-based relationships with Humana recognized for quality care outcomes.

Read More →