Multi-State Health Plans in Health Insurance Exchanges: OPM Final Rules
The federal Office of Personnel Management (OPM) had a tricky job in setting rules for multi-state health plans (MSP), which eventually will be offered in all states through Health Insurance Exchanges...
View ArticleHealth Insurance Exchanges: Progress in Iowa, Minnesota, Nevada, New York,...
Much about the Health Insurance Exchanges is uncertain, even as the October 1 deadline to make them operational approaches. Many states running their own or partnership exchanges have yet to decide on...
View ArticleHealth Insurance Exchanges: Progress Report on State-Based Exchanges
States and the federal government are doing all they can to make sure the Health Insurance Exchanges – also called Health Insurance Marketplaces – open on time, on October 1 this year. The rush to make...
View ArticleSmoking Cessation Coverage for Pregnant Women in Medicaid and Health...
The Affordable Care Act (ACA) coverage expansions to childless adults, through Medicaid and Health Insurance Exchanges, could have broad effects on public health. A recent study gives us one good...
View ArticleIndividual Health Insurance Market under ACA: Lessons from Medicare Part D
The individual health insurance market undergoes dramatic changes in 2014 under the Affordable Care Act, especially for health plans offering coverage through the new Health Insurance Exchanges. The...
View ArticleRisk Adjustment for Health Plans Under ACA: Evaluating, Improving Risk...
Risk adjustment is a key mechanism to ensuring appropriate payments for Medicare Advantage plans, Medicare Part D drug plans, and Medicaid health plans. Since health plans vary in their mix of healthy...
View ArticleFuture of Health Insurance Industry: Public Programs, Consolidation, New...
Health insurance in America has changed dramatically in the past few years, changes that will speed up once the Affordable Care Act (ACA) major provisions take effect in 2014. It’s easy to be sucked...
View ArticleHealth Insurance Costs and the ACA: New Study Estimates Premiums and Enrollment
Debate about whether consumers will pay more for insurance under health reform has become political, with conservative organizations saying Obamacare will increase premiums and liberals saying it...
View ArticleHealth Insurers Under Obamacare: Profit Margins, Risk, Adverse Selection, and...
For health plans, the Affordable Care Act dramatically increases complexity and uncertainty in the health insurance market. One thing is clear – Obamacare turns traditional risk management practices...
View ArticleHealth Plan Premiums and Cost Sharing in Federal Health Insurance Marketplace...
Throughout the new Health Insurance Exchanges, health plan offerings vary in premiums, cost sharing, and provider networks. As the Affordable Care Act’s radically new regulatory and financing framework...
View ArticleKing v. Burwell: Using ACA Waivers to Continue Premium Subsidies in Federal...
In the King v. Burwell case on federal premium subsidies in the federally-run health insurance exchanges, Congress, the White House, and States have a simple option should the Supreme Court rule in...
View ArticleHealth Plan Business Under the ACA: Interview with Kevin Lewis, CEO,...
In a new episode of the MediStrategy podcast, Kevin Lewis, CEO of Community Health Options, shares insights on health insurance exchanges and the health plan business under the Affordable Care Act...
View ArticleHealth Insurance Exchanges: Progress Report on State-Based Exchanges
States and the federal government are doing all they can to make sure the Health Insurance Exchanges – also called Health Insurance Marketplaces – open on time, on October 1 this year. The rush to make...
View ArticleSmoking Cessation Coverage for Pregnant Women in Medicaid and Health...
The Affordable Care Act (ACA) coverage expansions to childless adults, through Medicaid and Health Insurance Exchanges, could have broad effects on public health. A recent study gives us one good...
View ArticleIndividual Health Insurance Market under ACA: Lessons from Medicare Part D
The individual health insurance market undergoes dramatic changes in 2014 under the Affordable Care Act, especially for health plans offering coverage through the new Health Insurance Exchanges. The...
View ArticleRisk Adjustment for Health Plans Under ACA: Evaluating, Improving Risk...
Risk adjustment is a key mechanism to ensuring appropriate payments for Medicare Advantage plans, Medicare Part D drug plans, and Medicaid health plans. Since health plans vary in their mix of healthy...
View ArticleFuture of Health Insurance Industry: Public Programs, Consolidation, New...
Health insurance in America has changed dramatically in the past few years, changes that will speed up once the Affordable Care Act (ACA) major provisions take effect in 2014. It’s easy to be sucked...
View ArticleHealth Insurance Costs and the ACA: New Study Estimates Premiums and Enrollment
Debate about whether consumers will pay more for insurance under health reform has become political, with conservative organizations saying Obamacare will increase premiums and liberals saying it...
View ArticleHealth Insurers Under Obamacare: Profit Margins, Risk, Adverse Selection, and...
For health plans, the Affordable Care Act dramatically increases complexity and uncertainty in the health insurance market. One thing is clear – Obamacare turns traditional risk management practices...
View ArticleKing v. Burwell: Using ACA Waivers to Continue Premium Subsidies in Federal...
In the King v. Burwell case on federal premium subsidies in the federally-run health insurance exchanges, Congress, the White House, and States have a simple option should the Supreme Court rule in...
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