From Inside Health Insurance Exchanges - HHS’s decision to delay elements of the health reform law is prompting renewed speculation that the feds will push back the start of federally facilitated exchanges (FFEs). Others, however, caution that delay rumors are nothing new, and point to inaccurate predictions that the Supreme Court last June, and the presidential elections last fall, would delay or derail exchanges. In March, HHS indicated that a key feature of the Small Business Health Options Program (SHOP) would be delayed by one year in federally facilitated and state-partnership exchanges (HEX 4/4/13, p. 6). Read more
From ACO Business News - As more provider organizations seek out accountable care partnerships with insurers, those nascent ACOs say they are bumping up against a sometimes unexpected but very real problem: The data the payers are able to provide them with isn’t always high enough quality to be usable. This has led to struggles as the ACOs attempt to reconcile their internal data with the data provided by insurers, and to difficulties getting data on… Read more
From Inside Health Insurance Exchanges - The health reform law envisions at least two multi-state plans (MSP) offering coverage options through each state insurance exchange. But with carriers already scrambling to build and price exchange-ready products in time for October’s open-enrollment start, applying to be an MSP is being pushed to the back burner. Read more
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