Health Reform

From AIS's Value-Based Care News - The Federal Trade Commission may need to re-evaluate how it looks at potential hospital mergers in the rapidly evolving value-based care landscape following recent setbacks involving FTC challenges to three separate mergers on anticompetitive grounds, legal analysts say. Although the commission is appealing two of the rulings, the setbacks indicate that the FTC still is evaluating hospital mergers through a fee-for-service lens, even though the hospitals themselves increasingly are competing in a value-based world. Read more

From Inside Health Insurance Exchanges - A bill that passed a House committee vote last month would allow small employers to offer tax-free money to workers through a health reimbursement arrangement (HRA) that could be used to buy individual coverage on a public exchange. That, industry observers tell HEX, has the potential to boost enrollment on the public exchanges and improve the risk pool. 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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