Health Reform

From Inside Health Insurance Exchanges - In March, it seemed improbable if not impossible that carriers could avoid double-digit rate hikes for 2015 policies sold on public insurance exchanges. With the health insurer tax, reinsurance fees, a marketplace user fee and scant information about their new enrollees, several actuaries told HEX that big rate hikes were almost certain (HEX 3/20/14, p. 1). But proposed and approved premium increases being touted by state regulators, so far, have been in the low single-digits. Why? Read more

From ACO Business News - It’s not easy to earn shared savings in either of Medicare’s accountable care organization programs: Only about one-quarter of Medicare Shared Savings Program (MSSP) ACOs will get a payout, along with half the Pioneers, financial and quality results released last month by CMS indicate. The results were positive for CMS, which was able to tout that 11 Pioneers and 53 MSSP providers had saved CMS $372 million while improving quality (see… Read more

Health Reform Blog

By Steve Davis - October 6, 2014
Many carriers that watched from the sidelines a year ago will jump into the insurance exchange game when open enrollment kicks off Nov. 15. But it was one carrier’s decision to drop out that grabbed headlines last month. Obamacare critics were quick to point to the decision as proof that the...
By Steve Davis - July 9, 2014
Are private insurance exchanges the future of employer-sponsored benefits? Health insurers appear to think so. And while interest in the concept still far outweighs action among employers, that could change quickly. Large employers see private exchanges as a strategy that could help them avoid the...
By Steve Davis - June 5, 2014
The idea of an insurance marketplace for small employers was included in the Affordable Care Act in response to a perceived demand from small employers. But employers didn’t seem too put off last year when HHS said it would delay the Small Business Health Options Program (SHOP) for a year in states...

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