Health Reform

From Inside Health Insurance Exchanges - Carriers that priced their products too high for the 2014 plan year are proposing lower — in some cases substantially lower — rate hikes than competitors. And that premium right-sizing actually could translate to higher premiums as well as smaller federal premium subsidies for members unless they switch plans, according to an analysis from consulting firm Avalere Health. For carriers, the change in pricing could negatively impact renewals. Read more

From ACO Business News - Most value-based contracts with commercial insurers still feature shared savings and rewards for higher quality, but payers are eager to evolve those agreements so that they include more risk for primary care providers, and also begin to include specialists. Read more

Health Reform Blog

By Steve Davis - July 9, 2014
Are private insurance exchanges the future of employer-sponsored benefits? Health insurers appear to think so. And while interest in the concept still far outweighs action among employers, that could change quickly. Large employers see private exchanges as a strategy that could help them avoid the...
By Steve Davis - June 5, 2014
The idea of an insurance marketplace for small employers was included in the Affordable Care Act in response to a perceived demand from small employers. But employers didn’t seem too put off last year when HHS said it would delay the Small Business Health Options Program (SHOP) for a year in states...
By Steve Davis - April 17, 2014
Will premiums for exchange-based health coverage skyrocket this fall? The Congressional Budget Office doesn’t think so. In a report released April 14, CBO and the Joint Committee on Taxation predicted lower costs than initially projected due largely to the way health insurers have restructured the...

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