Health Plan Business

From Health Plan Week - Trying to keep pace with the flow of information from federal agencies charged with implementing the Affordable Care Act (ACA) is like “drinking water from a fire hose,” Ray Ramthun, president of Maryland-based HSA Consulting Services and a former senior health policy advisor to President George W. Bush, tells HPW. Read more

From Health Plan Week - A new report by the American Academy of Actuaries issued in May explores the underlying reasons average premium rates in the individual market will change in 2014 when public exchanges open and new Affordable Care Act (ACA) requirements kick in, like the 3:1 age-rating band, guaranteed issue and greater plan generosity under essential health benefit (EHB) mandates. Read more

Health Plan Business Blog

By Patrick Connole - May 7, 2013
Health insurers, like all stakeholders, have no idea what the advent of public health insurance exchanges next year will look like. Will these new marketplaces even get off the ground in time for open enrollment this fall? Will there be a flood or a trickle of new lives for insurers to cover in the...
By Rick Biehl - April 17, 2013
On several recent occasions, I’ve witnessed first-hand the operation of hospital emergency rooms, as a patient and while accompanying family members. Two things stand out about these three separate experiences: (1) how hard-working and fantastic all of the individuals were who treated us; and (2)...
By Jill Brown - April 15, 2013
Cambridge, Mass.-based Mount Auburn Hospital may be moving downriver toward full global risk, with more than 150 physician employees, a 513-physician-member independent practice association (IPA), one-third of hospital revenue from risk payers and bragging rights as the first hospital to enter into...

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