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August 2016

Recent Stories

From Inside Health Insurance Exchanges - CMS on Aug. 1 released comments it received in response to proposed changes to the risk-adjustment methodology, which the agency outlined in a March white paper (HEX 6/16, p. 4). The agency received comments from 46 health plans, trade associations, advocacy groups and other stakeholders who agreed that changes are needed to make the program fairer, but disagreed on exactly how to get there. If included in the next payment notice, the proposed changes would be effective in 2018 with payment and payouts in 2019. Read more

While a Small Business Health Options Program (SHOP) is available to small… Read more

Hillary Clinton, the presumptive Democratic presidential nominee, has dusted off the idea… Read more

How far can a state insurance department go to ensure the solvency… 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!

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August 24, 2016
E-News Alert for August 24, 2016

This week's headlines

  • Oscar Is Pulling Out of Dallas and New Jersey
  • Tennessee Insurance Commissioner: Exchange Is 'Very Near Collapse'
  • Outpatient Spending Drives Rate Hikes on Exchanges
  • Complex Rules for 1332 Waivers Could Limit Applications

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

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

August 23, 2016
Oscar Health to Drop Out of New Jersey, Dallas-Ft. Worth ACA Exchanges for 2017

Oscar Health to drop out of New Jersey, Dallas-Ft. Worth ACA exchanges for 2017. http://tinyurl.com/zuna83f

August 23, 2016
CMS Seeks More Info on Providers Steering Patients Eligible for Medicare/Medicaid Toward Individual Coverage

CMS seeks more info on providers steering patients who are eligible for Medicare and/or Medicaid toward individual market coverage. http://tinyurl.com/h3kde8x

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