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November 2015

Recent Stories

From Inside Health Insurance Exchanges - On Nov. 3, CMS announced it has begun piloting an online tool that will allow consumers to determine if a doctor is part of a health plan’s provider network. The Doctor Lookup feature is “a direct result of consumer demand,” said Kevin Counihan, CEO of the Health Insurance Marketplace. But online provider directories, as well as searchable drug formularies, were expected to be part of’s “window shopping” experience, which went live Oct. 25. Read more

As part of a 2014 undercover investigation, 11 out of 12 fictitious… Read more

What did CMS officials know and when did they know it? That’s… Read more

President Obama on Oct. 7 enacted the Protecting Affordable Coverage for Employees… Read more

From the Editor

Welcome to your Inside Health Insurance Exchanges subscriber-only Web page

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

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

November 19, 2015
United Reports $425M Loss on Exchanges

UnitedHealth Group writes down $425M in ACA exchange-related losses and adjusts its 2016 outlook down.

November 18, 2015
E-News Alert for November 18, 2015

This week's headlines

  • Cost-Sharing Strategies Vary Widely Inside, Outside Exchanges
  • Burwell Touts ‘Solid Start’ for Exchanges
  • Premium Rate Hikes Mirror Spending, Avalere Finds

Click here to read the articles in this week's E-Alert.

Previous E-Alerts are archived at "Recent E-Alerts."

November 16, 2015
New York Says Health Republic Customers Will Be Auto-Enrolled in New Plan

Customers of the failed New York ‪CO-OP‬ Health Republic will be auto-enrolled in another plan unless they make the switch themselves.

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