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State Exchanges View All →

Here’s What’s Going On With Obamacare Premium Increases

1 week ago

The good news is that available information indicates the doomsayers were wrong, and premiums under President Barack Obama’s health care law aren’t going through the roof.

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‘Copper’ Exchange Plans Could Save Money, Boost Enrollment

2 weeks ago

Adding “copper” plans to the menu of options sold through the Affordable Care Act’s insurance exchanges starting in 2016 would result in 350,000 additional U.S. residents enrolling in coverage and $300 million in deficit reduction over 10 years, according to a report by Avalere Health.

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Report: Cost of HealthCare.Gov Approaching $1 Billion

4 weeks ago

GAO Report places cost overrun blame squarely on the shoulders of the federal government.

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United Healthcare to Expand Presence in ACA Health Insurance Exchanges

1 month ago

Last week, United Healthcare (UnitedHealth Group, UHN), announced it would expand into the Health Insurance Exchanges (“Marketplaces”) in as many as 24 states in 2015, up from only five this year.

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Hospitals, Insurers Say Subsidies Rulings Further Confuse the Issue

1 month ago

Health-industry officials said Tuesday’s dueling court rulings over federal health-law subsidies set the stage for another bout of confusion as consumers return to marketplaces this fall to shop for next year’s coverage.

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Medicaid View All →

23 states still haven’t expanded Medicaid. Which could be next?

3 days ago

Thursday’s announcement that Pennsylvania will expand its Medicaid program brings the country one state closer to the original expansion outlined under Obamacare. But because of the Supreme Court’s 2012 decision making the expansion a voluntary program, there are still 23 states that haven’t expanded public health insurance to all of their low-income residents.

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Without Medicaid expansion, some hospitals suffer

2 weeks ago

Across the country, hospitals in Medicaid expansion states are seeing deep reductions in their uninsured volume and the amount of uncompensated care they deliver. That’s not happening in nonexpansion states, which is why hospital leaders in those states continue to push elected officials to accept federal Medicaid money to cover more of their residents.

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Red States Pressured To Expand Medicaid As Care Contrasts Emerge

3 weeks ago

Pressure is building on states to go along with the expansion of Medicaid benefits under the Affordable Care Act as new studies and financial reports from health care companies point out stark differences between states treating more poor Americans and those that aren’t.

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New Medicaid enrollments top 7 million under Obamacare

3 weeks ago

More than seven million Americans have gained health coverage through government programs including Medicaid since enrollment in Obamacare health insurance was launched October 1, the U.S. administration said on Friday.

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Why Red States Will Expand Medicaid, Like It or Not

4 weeks ago

Across the country, the bulk of uninsured adults now live in states that didn’t expand Medicaid eligibility, a separate report from the Urban Institute this week shows.

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Emerging Healthcare Models View All →

Medical-home adoption growing; evidence of effectiveness still elusive

2 weeks ago

Primary care is a foundation of healthcare reform efforts, and patient-centered medical homes are one of the delivery system innovations encouraged by the Patient Protection and Affordable Care Act. But recent studies present a mixed picture of their effectiveness.

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50 things to know about 5 leading payers

2 weeks ago

Here are 50 things to know about Aetna, Cigna, Humana, UnitedHealth Group and WellPoint — five leading health insurers in the U.S.

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The 4 Biggest Obstacles ACOs Face

2 weeks ago

To date, ACOs have accounted for measurable quality improvements and a reported $380 million in savings. Despite some movement, progress remains slow and inconsistent.

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In Ambitious Bid, Walmart Seeks Foothold in Primary Care Services

3 weeks ago

Walmart, the nation’s largest retailer, has spent years trying to turn some of its millions of customers into patients, offering a simple menu of medical services that consumers can buy along with everything from a bag of chips to a lawn mower. Now, the store is making an aggressive push to become a one-stop shopping […]

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Michigan Blues medical homes create dramatic savings

1 month ago

A transformation of care statewide” is underway as 1,422 physician practices, comprising of 4,022 primary care physicians, are now operating within Patient-Centered Medical Homes.

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Insurers View All →

What’s Up With Health Insurance Premiums — Besides Politics?

3 days ago

Health insurers have begun notifying policyholders of their (in the large majority of cases) premium increases.  That has led to a public debate about the size of those increases and Obamacare’s culpability for them.

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Insurers Finding Workarounds To Dissuade Sickest From Enrolling

3 days ago

While the Affordable Care Act’s passage blocked insurers from rejecting customers with expensive medical conditions, companies can still discourage the sickest from enrolling in their health plans.

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Humana Forms ACO with Health Choice to Boost Patient Care

2 weeks ago

Humana has penned another ACO deal-this time, it is with one of the divisions of IASIS Healthcare: Health Choice Preferred Network.

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The Evolution Of A Two-Tier Health Insurance Exchange System

2 weeks ago

Many employers are reevaluating their coverage offerings, some employers are no longer providing insurance coverage, and, among those who continue to offer it, high deductible plans with restricted networks are becoming the norm.

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MLR Rule a Baby Step Toward Spending Reductions

2 weeks ago

The medical loss ratio, also known as the 80/20 rule, is trimming spending by payers. But the fate of the nation’s drive to cut healthcare costs rests in the hands of the biggest spenders—providers.

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