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State Exchanges View All →

Obamacare Has Failed To Collapse — But Its Premiums Continue To Climb

5 days ago

We don’t measure the success of the “Affordable Care Act” by its failure to collapse. We measure it by looking at the underlying affordability of American health care. And there can be no doubt that health care today is more costly than it would have been without Obamacare.

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Kaiser Study Finds Costs Dropping For Benchmark ACA Health Plans

6 days ago

An initial analysis released by the Kaiser Family Foundation Sept. 5 found that proposed 2015 premiums for benchmark plans on which federal subsidies are based are down slightly – 0.8 percent, compared to 2014 – in 16 cities where rate filings were available.

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For Now, Blue Cross Brand Dominates Obamacare Exchanges

6 days ago

Health plans operating with the Blue Cross brand “captured the greatest percentage of covered lives” in 12 of 15 states in the first year private coverage was offered on exchanges under the Affordable Care Act, according to a study of market share data.

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Analysis of 2015 Premium Changes in the Health Insurance Marketplaces

2 weeks ago

With the second open enrollment period of the health insurance marketplaces approaching, this analysis provides an initial look at premium changes for marketplace plans for individuals in 15 states and the District of Columbia that have publicly released comprehensive data on rates or rate filings for all insurers.

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State sites outperform U.S. marketplace in Affordable Care Act signups

2 weeks ago

States running their own Affordable Care Act marketplaces enrolled more people in health insurance than those using the federal marketplace, according to an analysis by researchers at the University of Pennsylvania’s Leonard Davis Institute.

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Medicaid View All →

Did HHS Break Its Own Medicaid Waiver Rules?

7 days ago

HHS is supposed to only approve Medicaid expansion demonstrations that are budget neutral, but according to a recent report from the GAO, the HHS-approved Medicaid expansion plan in Arkansas isn’t even close.

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Hospitals See Greater Financial Benefits in Medicaid Expansion States

2 weeks ago

Hospitals in states that expanded Medicaid under the Affordable Care Act are experiencing significant financial benefits, according to an analysis released Wednesday by PricewaterhouseCoopers’ Health Research Institute.

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Indiana, Several Other States Look To Expand Medicaid Next Year

2 weeks ago

With the long-awaited deal to expand Medicaid finally struck last week between Pennsylvania and the Obama administration, 27 states and the District of Columbia have adopted a key coverage plank of the Affordable Care Act. And the momentum continues to grow in Republican-led states as Tennessee and several others look to expand coverage to low-income […]

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

3 weeks 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

1 month 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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Emerging Healthcare Models View All →

Hospital-Employed Physicians Drive Up Costs, Say 16 States

2 weeks ago

The attorneys general (AGs) of 16 states warn that hospital employment of physicians, which is considered in many quarters to be the inevitable fate of medical practice, is driving up healthcare costs without necessarily improving the quality of care.

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Checking in on ACA Care Models: Where ACOs and PCMHs Stand

2 weeks ago

The Affordable Care Act seeks to make the transition from fee-for-service models to newer, more innovative payment models that focus on prevention and improving the quality of care while reducing costs.   Two of the center’s innovation models — accountable care organizations and patient-centered medical homes — are driving this transition.

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Medical-home adoption growing; evidence of effectiveness still elusive

1 month 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

1 month 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

1 month 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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Insurers View All →

High-deductible plans and wellness programs keep health care costs low

5 days ago

Employers’ move to high-deductible health plans and greater use of generic drugs and wellness programs are limiting increases in health care costs, with no sign that premiums will surge in the near future.

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Insurers Fight Hospital Mergers As ACA Snubs Fee For Service Medicine

5 days ago

A wave of hospital mergers and acquisitions spreading across the U.S. has the health insurance industry attempting to stand in the way with legalese, Congressional lobbying and in the court of public opinion.

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Companies race to adjust health-care benefits as Affordable Care Act takes hold

6 days ago

Large businesses expect to pay between 4 and 5 percent more for health-care benefits for their employees in 2015 after making adjustments to their plans, according to employer surveys conducted this summer.

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Glitch in health care law allows employers to offer substandard insurance

7 days ago

A flaw in the federal calculator for certifying that insurance meets the health-care law’s toughest standard is leading dozens of large employers to offer plans that lack basic benefits, such as hospitalization coverage, according to brokers and consultants.

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Five Ways Obamacare And Employers Shift Costs This Open Enrollment Season

3 weeks ago

As the Affordable Care Act and moves by employers and private insurers emphasize lower cost medical care and increased quality, consumers need to closely examine their open enrollment information this fall for myriad changes.

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