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Inside Health Insurance Exchanges
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July 25, 2016

Today's Featured Story

At Hearing on Rates, Lawmakers Seek Answers, Point Fingers
Reprinted from Inside Health Insurance Exchanges

At a July 12 hearing before the House Ways and Means Committee, lawmakers on both sides of the aisle agreed that the Affordable Care Act isn’t working as intended, and that enrollment is far lower than projected. That’s where agreements ended and the bickering began. Narrow provider networks, the failure of the Consumer Operated and Oriented Plans, dwindling competition among carriers, mandated essential health benefits, and a failure to bring young and healthy people into the public exchanges were among the reasons cited for rising rates and low enrollment.... Read Full Story

 

Quote of the Day

“2017 will be a tough balancing act for the health industry. Healthcare organizations must simultaneously increase access to consumer friendly services while decreasing unit cost. Employers, worried that this current trend is at an inflection point that could turn back up, will demand more value from the health industry. When medical growth outpaces general inflation, a flat trend is not good enough.”

— Excerpted from Medical Cost Trend: Behind the Number 2017, a new report from PwC’s Health Research Institute.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared — "PBMs Can Help With Medical Cost Trend at ‘Inflection Point’" (Free for DBN subscribers; $17 for non-subscribers.)

 

Today's Datapoint

13.2% ... will be the average increase in non-group premium rates by California insurers for the 2017 plan year, the state’s insurance exchange, Covered California, reported on July 19.

Click here to read the INSIDE HEALTH INSURANCE EXCHANGES E-ALERT in which this datapoint appeared. (Free for HEX subscribers; $17 for non-subscribers.)

 

Today from Washington

People on the Move
William Braun joined DDS Lab as president and CEO. He previously was president of outsourcing solutions at Steris PLC....Cogentix Medical, Inc. named Darin Hammers president and CEO. He most recently was chief operating officer for Cogentix predecessor Uroplasty....Quantum Health Inc. appointed Scott Kinzer vice president of national accounts. He previously was vice president of employer solutions for SHAPEUP, Inc....Astellas named Joseph Devaney vice president of government affairs and policy in the Americas. He most recently was vice president of federal and state relations at Sanofi.
 

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Inside Health Insurance Exchanges
AIS’s Medicare and Medicaid Market Data: 2016