Health Reform

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

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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