Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Affordable Care Act

Payers Face 9.6% Underwriting Loss on Health Insurance Exchange

by Jacqueline LaPointe

Underwriting margins for payers selling individual plans on the health insurance exchange dropped from a 6 percent earned premium loss in 2014 to a 9.6 percent loss in 2015, Milliman recently reported. The financial losses stemmed from the...

House Reps Add Amendments to the American Health Care Act

by Thomas Beaton

House Republicans recently added 21 pages of  updates and changes to the American Health Care Act (AHCA) to push forward the potential Affordable Care Act (ACA) repeal and replace bill. Many of the legislation’s changes would...

HHS Launches Webpage Detailing ACA Repeal Actions

by Thomas Beaton

HHS created a new online resource that highlights the regulatory and administrative actions the federal department has taken for an Affordable Care Act (ACA) repeal. HHS believes that these actions are necessary to relieve burdens of...

CBO Score Confirms Industry’s American Health Care Act Concerns

by Thomas Beaton

After the Congressional Budget Office released their cost estimate on the American Health Care Act (AHCA) several healthcare industry leadership groups reaffirmed their concerns about the bill, which may leave approximately  14...

HHS Offers Waivers for Health Insurance Exchange Stability

by Jacqueline LaPointe

The Department of Health and Human Services (HHS) recently encouraged states to apply for State Innovation Waivers as a way to stabilize the health insurance exchanges and boost consumer access health plans and services. States should...

Industry Groups Express Concerns Over Proposed ACA Repeal Bills

by Jacqueline LaPointe

Earlier this week, House Republicans started a potential Affordable Care Act repeal by introducing the American Health Care Act. But some industry groups recently expressed concerns that the legislation would inappropriately shift more...

HHS Secretary Price Voices Support for House ACA Repeal

by Thomas Beaton

The Secretary of the Department of Health & Human Services Secretary (HHS) penned a letter to the two House Republicans behind the American Health Care Act praising the new legislation that would replace the Affordable Care...

CMS Proposes New Rule to Stabilize Health Insurance Exchanges

by Jacqueline LaPointe

CMS recently announced a proposed rule designed to help stabilize health insurance exchanges by promoting more coverage options and improving the risk pool for insurers. The proposed rule comes just one day after Humana publicized its...

Humana to Leave ACA Health Insurance Exchanges by 2018

by Thomas Beaton

Humana will halt sales of individual health insurance plans through the Affordable Care Act’s exchanges by 2018, which will leave more than 150,000 Humana customers without a carrier.   Amid ongoing political uncertainty,...

Medicaid Expansion Boosts Coverage, Quality at Health Centers

by Jacqueline LaPointe

Federally funded health centers in states that underwent Medicaid expansion through the Affordable Care Act faced higher levels of insured patients and improved care quality compared to their peers in non-expansion states, a recent Health...

Proposed ACA Replacement Moves Coverage Choices to the States

by Thomas Beaton

Several Republican lawmakers have introduced the “Patient Freedom Act” as a proposed replacement of the Affordable Care Act, emphasizing state authority and local decision-making in the health insurance market. Senators Bill...

Congress Votes to Nominate Tom Price as HHS Secretary

by Vera Gruessner

On February 1, House Representative Tom Price, R-Ga., was officially nominated as the Secretary for the Department of Health & Human Services (HHS), according to the US News & World Report. The Senate Finance Committee moved...

74% of PCPs Prefer Affordable Care Act Changes Over Repeal

by Jacqueline LaPointe

Only about 15 percent of primary care providers favored a complete repeal of the Affordable Care Act, a recent New England Journal of Medicine study stated. While some of the 426 primary care providers surveyed between December 2016 and...

6.4 Million Enrollees Sign Up on Affordable Care Act Exchanges

by Vera Gruessner

As of December 21, a total of 6.4 million consumers have enrolled in health plans through the Affordable Care Act exchanges on HealthCare.gov, reported the Centers for Medicare & Medicaid Services (CMS) in a fact sheet. The number of...

ACA Health Insurance Exchanges Bring Challenges for 2017

by Vera Gruessner

The Affordable Care Act (ACA) health insurance exchanges will have some key differences next year. Health insurance companies have faced various obstacles when selling health plans through the exchanges. These challenges include a higher...

Patient Engagement Helps Payers on Affordable Care Act Exchanges

by Vera Gruessner

Many health insurance companies selling health plans through the Affordable Care Act exchanges have been seeing higher and higher rates of financial losses. Some payers such as Aetna, Humana, and UnitedHealth Group have even pulled back...

Payers See High Financial Losses on Health Insurance Exchanges

by Vera Gruessner

Healthcare payers have been facing significant financial losses on the health insurance exchanges in recent years. UnitedHealth Group lost $475 million in 2015 and was predicting a loss of $650 million in 2016, according to Kaiser Health...

Payers Continue to Drop Out of the Health Insurance Exchanges

by Vera Gruessner

Healthcare payers have seen significant obstacles when it comes to operating on the public health insurance exchanges with large, national insurance companies losing money through this marketplace. Below we outline some key insurers that...

Affordable Care Act Replacement Seeks Automatic Enrollment

by Vera Gruessner

Since the Presidential election of Donald J. Trump, a number of differing viewpoints came out emphasizing how the Patient Protection and Affordable Care Act will be impacted. For the last several years, the Republican Party has attempted...

How to Fix Obama’s Affordable Care Act Without a Repeal

by Vera Gruessner

Now that a new President and a Republican-controlled Congress has been elected, what does the future for healthcare reform and the Affordable Care Act (ACA) look like? What will happen to the Affordable Care Act cannot be answered simply...

X

Sign up for our free newsletter:

Our privacy policy


no, thanks

Continue to site...