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August 31, 2015

Recent Stories of Interest

From Health Plan Week - Section 1332 waivers are the “next big thing” for health plans to keep track of when it comes to possibly disruptive changes to Affordable Care Act (ACA) implementation. While these waivers, which are part of the ACA, cannot be submitted by states until 2017, legislators and governors in some jurisdictions are currently plotting strategies to seek permission from HHS to make tweaks around the edges of the reform law, go full Monty and ask for significant alterations to coverage and eligibility rules, or do nothing. Read more

Health plans faced with more and more health system encroachment into their… Read more

It turns out the female version of Pfizer Inc.’s Viagra differs from… Read more

Five years after the Affordable Care Act (ACA) became law, health insurers… Read more

From the Editor

Welcome to your Health Plan Week subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles and data, and more!

Please e-mail me with your comments on the last issue of Health Plan Week, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

September 1, 2015
CMS Debuts Value-Based Pilot for MA Plans

CMS unveiled a value-based design model experiment for Medicare Advantage plans. http://tinyurl.com/pl8ejj7

August 28, 2015
Third CO-OP to Shut Down

Nevada Health CO-OP is the third CO-OP to shutter operations this year after struggling to stay afloat for the last two years. nevadahealthcoop.org

August 25, 2015
Inovalon Announces Plans to Acquire Avalere

Inovalon is set to acquire Avalere Health in a deal valued at $140 million. http://tinyurl.com/o76u239

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