State health insurance markets and their individual insurance exchanges have faced regular instability in the form of payer exits, imbalanced risk pools, and rising premiums that push out new and...
Economists from Harvard Business School and Northeastern University found individual ACA silver plans with narrow provider networks were 16 percent cheaper for consumers and offer payers a promising...
Eight state governors have outlined their proposals for a health insurance market stabilization plan that would control premium increases and improve competition in the federal and state health...
HHS and CMS announced that they will allocate $10 million to support the Affordable Care Act Navigator program, which helps health insurance consumers find coverage solutions during the Open Enrollment...
20.5 million more individuals have gained health insurance coverage since the implementation of the Affordable Care Act (ACA) in 2010, according to a new report from the CDC and the National Center for...
While much of the national debate over health insurance has focused on the options open to ACA marketplace enrollees, payers should be careful not to neglect coverage choices for their private plan...
Anthem BlueCross BlueShield (BCBS) will completely withdraw from Nevada’s ACA exchange for individual health plans in 2018, the health payer announced on Monday.
The payer’s decision...
Alaska will be able to move ahead with its plans to implement a state reinsurance program under a 1332 State Innovation Waiver, HHS confirmed this week.
The Alaska Reinsurance Program...
CMS has released the results from 2016 for reinsurance and risk adjustment transfers, two of the “three R’s” used to stabilize premiums in the Affordable Care Act (ACA) marketplaces....
Despite questions over the future of the Affordable Care Act (ACA) and its cost-sharing reductions (CSR), many insurers are opting to expand existing offerings or enter new markets in the 2018 ACA...
The Senate has released the working draft of the Better Care Reconciliation Act of 2017, revising the recently House-passed AHCA. Both bills aim to repeal and replace the Affordable Care...
Medica has announced plans to stay in the Nebraska and Iowa health insurance exchanges for 2017. Although committed to the Nebraska exchange, the payer had previously indicated it was going...
Starting on June 23, 2017, CMS will be enacting its new rules regarding special enrollment periods (SEP) for the ACA marketplace.
The agency released the new special enrollment rules earlier...
If Iowa’s health insurance exchanges are completely abandoned, the state will request that the federal government allow the establishment of a state health care plan for 2018.
If approved by...
Centene Corporation will expand its presence in a number of state health insurances exchanges in 2018, building on its successful 2017 marketplace results. The payer is planning to enter...
Questions over the future of the Affordable Care Act (ACA) and its cost-sharing reduction (CSR) payments have prompted many payers to abandon ACA state health insurance exchanges in part or entirely in...
Pennsylvania and Ohio are having very different experiences with their Affordable Care Act health insurance exchanges as they move into 2018.
While Pennsylvania’s existing five payers will...
The Nevada State Assembly has passed a bill which would open Medicaid enrollment to all of the state’s residents, regardless of income or health status. The Nevada Care Plan would...
In April of 2017, Wellmark Blue Cross Blue Shield, which operates in Iowa and South Dakota, announced it would exit the 2018 health insurance exchanges. The payer cited higher than expected...
Blue Cross Blue Shield of North Carolina announced its 2018 individual premium rates will increase an average of 22.9 percent for coverage on and off the health insurance exchange in all 100 counties...