From Inside Health Insurance Exchanges - A Congress soon to be led by a party opposed to the Affordable Care Act (ACA) — combined with the Supreme Court’s recent decision to take on a controversial provision of the law — could give federally facilitated exchange (FFE) states a strong financial incentive to transition to a “supported state-based marketplace” model (HEX 9/4/14, p. 1). It also could lead to some political battles and bargaining with the White House. Read more
From ACO Business News - Amid growing questions about the short- and long-term viability of the federal Medicare Pioneer initiative and Medicare Shared Savings Programs (MSSP) (ABN 10/14, p. 1), Sharp HealthCare stands out as a company that’s making accountable care work — but couldn’t make it work in the federal programs. Sharp’s results in Pioneer were good — excellent, in fact, says Alison Fleury, the provider’s vice president of business development. Read more
From Inside Health Insurance Exchanges - Armed with experience from last year’s open-enrollment period — and a fresh round of funding from HHS — navigators and in-person assisters are going after the uninsured population that they were unable to reach or unable to motivate last year. But they face some daunting challenges. While the start of the open-enrollment period is just a couple weeks away, only 10% of the nation’s uninsured are aware of it, according… Read more
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