From AIS's Value-Based Care News - With massive consolidation on the horizon for large health insurers (see story, p. 1), both provider groups and payers are anticipating an even stronger push toward value-based payments in commercial contracts. Read more
From Inside Health Insurance Exchanges - With the King v. Burwell case settled, President Obama is putting pressure on states to expand their Medicaid programs. And there are both rewards and risks for some carriers if they do. Twenty-nine states have expanded Medicaid as called for by the Affordable Care Act (ACA). While state leaders might have a strong interest in covering a larger percentage of their poor, political, fiscal and ideological differences often limit what can be… Read more
From Inside Health Insurance Exchanges - If the Supreme Court had ruled in favor of the plaintiff in King v. Burwell (AIS Alert, 6/25/15), there was optimism among some employers that certain provisions of the Affordable Care Act (ACA) would crumble. With the law now more firmly in place, more employers are looking to private exchanges as a possible strategy to help sidestep the so-called Cadillac tax, which is slated to go into effect in 2018. Most… Read more
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