Health Reform

From Inside Health Insurance Exchanges - The Affordable Care Act requires public exchanges to verify application information to determine eligibility for enrollment and, if applicable, eligibility for federal subsidies (see story, p. 1). Read more

From AIS's Value-Based Care News - Few accountable care organizations would argue that controlling diabetes costs — and managing out-of-control diabetics — are key to lowering overall costs and improving quality of care. But actually accomplishing that goal involves a complex medley of intensive care management that many ACOs haven’t yet mastered. Read more

Health Reform Blog

By Steve Davis - June 1, 2015
While determining rates for the 2016 plan year, health plan actuaries had a better understanding of who purchased coverage through a public exchange...and their health risks. It turns out that enrollees are older, sicker and use more prescription drugs than actuaries estimated for the first two...
By Steve Davis - April 10, 2015
A few months back, I interviewed a small business owner who decided to transition to the federal Small Business Health Options Program (SHOP). He liked the idea of giving his workers more health insurance choices and was intrigued by the small-business tax credit, which is available only through...
By Steve Davis - March 17, 2015
For the record, I don’t think the Supreme Court will decide only state-based exchanges can distribute federal premium subsidies. The court had its chance to strike down the individual mandate in 2012 but didn’t. But if I’m wrong, will a decision against HHS mean the end of public insurance...

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