Health Reform

From Inside Health Insurance Exchanges - While health insurers have been criticized for their use of narrow provider networks, the strategy is popular with people who buy coverage through public insurance exchanges, particularly younger participants, according to the results of a survey published Aug. 3 by the Deloitte Center for Health Solutions. Read more

From AIS's Value-Based Care News - Aetna Inc.’s latest value-based care arrangement is an oncology medical home with the University of Chicago Medicine that started July 1. As the insurer continues its transition from a fee-for-service approach, the groups hope to impact increasing health care costs, inefficient care and redundant services. The model will automatically be in effect for Aetna members treated at UChicago Medicine, with an initial focus on three cancers: breast, lung and colon. 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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