Health Reform

From Inside Health Insurance Exchanges - Hindered by high premiums, fierce competitors and virtually no name recognition, many Consumer Owned and Operated Plans (CO-OPs) were slow to get out of the gate last year. For the 2015 plan year, however, CO-OPs in many markets underpriced more established players inside and outside of the public insurance exchanges. Read more

From ACO Business News - There’s no doubt that managing prescription medication costs and utilization can produce good clinical results — and possibly financial results — for accountable care organizations. However, only a handful of ACOs are currently using such programs to help them handle drug costs. That doesn’t mean ACOs aren’t interested in leveraging drug use and spending to improve quality and control costs — they are. Read more

Health Reform Blog

By Steve Davis - December 30, 2014
Just before Christmas, Iowa-based CoOportunity Health, Inc. got something far worse than a stocking bulging with coal…it received word that it could be forced into liquidation. Iowa’s Insurance Commissioner Nick Gerhart will take over as “rehabilitator” for the Consumer Operated and Oriented Plan (...
By Steve Davis - December 5, 2014
In June, three years will have passed since the Supreme Court ruled that the Affordable Care Act (ACA) went too far by withholding all Medicaid funding from states that don’t expand program eligibility to adults with annual incomes up to 133% of the federal poverty level. Since that decision, just...
By Steve Davis - October 6, 2014
Many carriers that watched from the sidelines a year ago will jump into the insurance exchange game when open enrollment kicks off Nov. 15. But it was one carrier’s decision to drop out that grabbed headlines last month. Obamacare critics were quick to point to the decision as proof that the...

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