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Private Payers News

What the Health Insurance Marketplace Should Expect in 2016

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With January 1, 2016 only days away, it is useful to review next year’s predictions for the healthcare insurance industry. Both the costs of monthly premiums and the health insurance marketplace set up by the Patient Protection and Affordable...

Top 4 Predictions for Healthcare Payer Industry in 2016

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As the year comes to a close, while many are off to celebrate the holidays, those within the healthcare payer industry would be wise to look ahead to the New Year and prepare for the coming trends and challenges of 2016. Below we outline four...

2016 Premiums on Health Insurance Exchanges Expected to Soar

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Health payers managing plans through the state health insurance exchanges will need to work toward maintaining superior customer relations due to the rise in premium costs expected in 2016. The Robert Wood Johnson Foundation released datasets...

Medicaid Expansion, State Exchanges Led to Drop in Uninsured

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Ever since the Supreme Court ruled that one stipulation within the Patient Protection and Affordable Care Act is not fully constitutional, states around the nation have taken the court’s decision to heart and truly shown that Medicaid expansion...

Data Sharing Among Payers Advances Population Health Management

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When it comes to data collection and data sharing, payers should inform beneficiaries exactly how their information is used such as public health reporting requirements or among healthcare providers. The federal government offers a background...

How Payers Can Improve Websites of Health Insurance Exchanges

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In order to better serve their customer base, state health insurance exchanges along with the federal website HealthCare.gov could take a number of steps to improve their web pages and expedite the purchasing of health insurance plans. The Clear...

Will Health Insurance Exchange Remain Intact Despite Hurdles?

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What will happen to the health insurance exchange created by the Patient Protection and Affordable Care Act? Will it continue on as originally planned by the Obama administration? Or will new legislation and the decisions of insurance companies...

Is UnitedHealthcare Leaving a ‘Death Spiral’ for Exchanges?

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The insurer UnitedHealthcare has recently announced that it would consider moving away from the Affordable Care Act’s health insurance exchanges due to significant profit losses. The actions of this large health payer could be an indication...

State Health Insurance Exchanges Face Many Challenges

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The creation of health insurance exchanges throughout individual states after the passage of the Affordable Care Act has not been an easy process. Many state health insurance exchanges have experienced a variety of challenges over the last few...

Insurance Mergers and Acquisitions May Increase Premiums

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Mergers and acquisitions are popping up all over the healthcare industry from drug makers and hospital systems to health insurers. The year 2015 has been a beehive of activity for the consolidation of a large number of medical companies. The...

Does Blocking State Medicaid Expansion Create a Coverage Gap?

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The most recent data on state Medicaid expansion shows that a total of 20 states are declining to broaden Medicaid coverage among those living below poverty level. One of the provisions under the Patient Protection and Affordable Care Act meant...

CMS Releases Doctor Lookup Pilot on Health Insurance Exchange

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The health insurance exchange has a new feature that should bring more interest from consumers. The Centers for Medicare & Medicaid Services (CMS) announced yesterday that Healthcare.gov, the website that offers coverage plans on the health...

Health Insurance Marketplace Cuts Costs, CMS Boosts Quality

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The health insurance marketplace has brought more competition among health payers as well as more benefits to consumers in need of healthcare coverage and unable to purchase plans with more costly premiums. The Centers for Medicare & Medicaid...

10 Million Expected to Enroll via Health Insurance Marketplace

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The health insurance exchange created after the passage of the Patient Protection and Affordable Care Act has garnered significant interest and popularity over the last several years. The health insurance marketplace has expanded access to healthcare...

How to Achieve Cheaper Medical Technology Insurance Coverage

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Is more financially sound medical technology the answer? One-third of 2012 Medicare spending in physician or outpatient setting is linked to technology that has only been in existence within the past decade, according to a new paper from...

Poor Consumer Decision-Making in Health Insurance Marketplace

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The health insurance exchange set up by more recent healthcare reforms including the Affordable Care Act was established in order to give consumers more choice in their medical coverage options. This was essentially expected to provide more competition...

Major Iowa Insurer Joins Obamacare Health Insurance Exchange

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The Patient Protection and Affordable Care Act under the Obama administration, which is colloquially known as Obamacare, set up a health insurance exchange platform that enables consumers to pick and choose which type of healthcare coverage is...

Do All Health Insurance Exchanges Follow Federal Regulations?

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Ever since President Barack Obama and his administration passed the Patient Protection and Affordable Care Act, the development of the health insurance marketplace was born. The law requires every individual to purchase health insurance or else...

GAO Report Uncovers 2015 Healthcare Premium Range Variation

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The United States Government Accountability Office (GAO) has released a report providing new information about 2014 and 2015 healthcare premium ranges and plan availability. GAO examined levels of disparity among health plan options and premiums,...

Patient Engagement High Priority for Millennial Patients

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Patient engagement proves to be of high priority in the ever-evolving healthcare landscape, and providers and payers are seeing shifts in how patients purchase healthcare and health insurance because of patient engagement. This shift is due to...

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