Health Reform

From Inside Health Insurance Exchanges - Interest in private exchanges — once seen as the next evolution of employee benefits — continues to plunge among large employers, according to the results of a survey released Aug. 9 by the National Business Group on Health (NBGH). Private exchange operators, however, say interest in exchanges hasn’t faded. For 2016, just 4% of surveyed employers said they had transitioned their active workers to a private exchange. And no large employers responding to the survey are moving to a private exchange for 2017, according to the report. Read more

From Inside Health Insurance Exchanges - With federal funding drained and enrollment levels lower than projected, state-based exchanges (SBEs) have boosted administrative fees, capped staffing levels and are introducing products to bring in new revenue. The Affordable Care Act (ACA) required SBEs to be self-sustaining by Jan. 1, 2015. 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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