From Inside Health Insurance Exchanges - Technology that would have allowed insurance carriers and web-broker entities (WBEs) to determine federal subsidy eligibility and directly enroll consumers wasn’t ready in time for the start of last year’s open-enrollment period. It’s not going to be ready this year, either. While the technology has improved, industry observers tell HEX that it’s far from ideal, which means most subsidy-eligible consumers will be restricted to HealthCare.gov and state-run exchange websites when enrolling in coverage. Read more
From Inside Health Insurance Exchanges - The combination of competitive pricing and strong brand recognition helped WellPoint, Inc. and independent Blue Cross and Blue Shield companies dominate public insurance exchanges, according to a recent analysis by Washington, D.C., consulting firm Avalere Health. But new competitors — and attractive premiums from existing ones — threaten to snatch some of that market share away. Read more
From ACO Business News - Most accountable care organizations have a health information technology (HIT) infrastructure that can support relatively simple activities, such as quality measurement and physician payment. Read more
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