Follow Health Care Reform Insider on Twitter

State Exchanges View All →

Number of Narrow Network Health Plans varies by state

4 days ago

As narrow networks tied to the Affordable Care Act continue to be a hot topic of debate, a new report highlights where in the country these controversial plans are most common.

Read More →

Increased Competition on HealthCare.gov Helped Constrain Premiums

4 weeks ago

U.S. residents who enrolled in health coverage through the federal exchange had a broader choice of plans in 2015 than they did in 2014, which helped to constrain premium cost growth, according to an HHS report released Thursday.

Read More →

High costs plague some state-run health insurance markets

1 month ago

State-run health insurance markets that offer coverage under President Barack Obama’s health law are struggling with high costs and disappointing enrollment.

Read More →

Small business insurance exchanges are off to a rocky start

2 months ago

Millions of Americans have health insurance because of the Affordable Care Act, but there’s one area where enrollment has significantly dragged. Few small businesses are getting coverage through the law’s online insurance exchange.

Read More →

Rx Drug Spending Down Among New Exchange Enrollees

2 months ago

New enrollees in the Affordable Care Act’s exchanges in 2015 spent less on prescription drugs and tended to be younger than new enrollees last year, according to a report from pharmacy benefits manager Express Scripts.

Read More →

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

Medicaid View All →

Dynamic Vision Is A Cornerstone Of State Payment Reform Initiatives

1 month ago

Faced with rising health care costs, states are designing and implementing payment reforms that fundamentally transform how the health care market provides and pays for services. Two states in particular, Ohio and Oregon, have developed an overarching vision to guide their multi-payer payment and delivery system transformations.

Read More →

Carriers Must Weigh Rewards, Risks In New Medicaid-Expansion States

1 month ago

While state leaders might have a strong interest in covering a larger percentage of their poor, political, fiscal and ideological differences often limit what can be done.

Read More →

Obamacare’s Medicaid Enrollment Explosion: A Looming Fiscal Nightmare For States

1 month ago

Across the country, governors and state lawmakers have circled “2017” on their calendars. This is the first year that the enhanced federal funding for Obamacare’s Medicaid expansion starts to fade away and the fiscal pain soon coming to states may be even worse than anticipated.

Read More →

Hospitals pay big price for lack of Medicaid expansion

1 month ago

But providers in expansion states reaping benefits.

Read More →

Medicaid Enrollment surges, stirs worry about State Budgets

1 month ago

More than a dozen states that opted to expand Medicaid under the Affordable Care Act have seen enrollments surge way beyond projections, raising concerns that the added costs will strain their budgets when federal aid is scaled back starting in two years.

Read More →

Emerging Healthcare Models View All →

ACO operator Collaborative Health Systems says partners saved millions

4 days ago

Nine ACOs that partner with CHS generated $27 million in the Medicare Shared Savings Program.

Read More →

Is Walgreens looking for retail clinic exit?

1 week ago

An agreement between Providence Health & Services and Walgreens Boots Alliance could signal that the retail drugstore is looking to get out of the healthcare clinic business.

Read More →

ADP and USI Partner to Create Innovative Private Exchange Solution

3 weeks ago

ADP and USI Insurance Services, a leading insurance brokerage and consulting firm, are partnering to create a Private Exchange that offers employers a broad range of health benefits plan options.

Read More →

ACOs Appear Unable to Incentivize Physicians to Limit Costs

4 weeks ago

Practices in affordable care organizations (ACOs) provide a slightly higher compensation for quality when compared with practices at large, suggesting that the incentives for ACOs may not be strong enough to encourage practices to change physician compensation policies.

Read More →

Health insurer CDPHP saves $20 million with patient-centered primary care program

4 weeks ago

Health insurer CDPHP saved $20.7 million in 2014 through a program focused on improving primary care.

Read More →

Insurers View All →

Health Insurer Mergers Signify Shift in Health Care Marketplace

1 week ago

The federal government is becoming one of the insurance industry’s biggest customers.

Read More →

A Change To Out-Of-Pocket Health Insurance Limits Irks Employers

2 weeks ago

One of the health law’s key protections was putting a cap on how much people can be required to pay out of pocket for medical care each year.

Read More →

The Cadillac Tax: U.S. Corporations On A Collision Course With An Escalade-Sized Expense

2 weeks ago

The Cadillac Tax got its name because Cadillacs are luxurious and expensive, not because they are huge and made in Detroit. But the annual 40% excise tax on employer-sponsored health plans with annual premiums exceeding $10,200 for individuals or $27,500 for a family starting in 2018 is anything but luxurious.

Read More →

Maine health insurance co-op is only one of its kind to earn profit last year

1 month ago

Most of the co-ops established under the Affordable Care Act struggled financially, federal audit shows.

Read More →

Anthem Agrees to Buy Cigna for $48.4 Billion

1 month ago

Deal, which needs regulatory approval, would help reshape health insurance industry.

Read More →