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April 2016

Recent Stories

From Inside Health Insurance Exchanges - CMS is considering several tweaks to its risk-adjustment program including a high-risk pool, partial-year enrollments and the inclusion of prescription drug claims as predictors of diagnoses or severity of illness. If included in the next payment notice, CMS’s proposed changes would be effective in 2018 with payment and payouts in 2019. While the tweaks would likely make the program more reasonable, some carriers might not survive long enough to take advantage of them. Many carriers were required to make sizable payments under the risk-adjustment program last year. Read more

Beginning next January, health insurers in Colorado will be allowed to use… Read more

The IRS is taking a bigger bite out of tax refunds this… Read more

Oregon-based Health Republic Insurance Co., which is winding down operations, filed a… 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.

April 28, 2016
Covered Calif. Adds Second Vision Option for Members

EyeMed is joining VSP Vision Care in offering insurance plans on the Covered California exchange.

April 27, 2016
E-News Alert for April 27, 2016

This week's headlines

  • Anthem Ended First Quarter With 975,000 Exchange Members
  • In Iowa, UnitedHealth Is Out, Wellmark Is In
  • Centene Says Exchange Margins Are Better Than Expected
  • House Republicans Criticize Reinsurance Payments

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

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

April 21, 2016
LifeWise Exits Oregon Health Exchange

Premera Blue Cross unit LifeWise Health Plan of Oregon is the latest insurer to call it quits on the exchanges.

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