Federal Health Insurance Marketplace

What the Health Insurance Marketplace Should Expect in 2016

by Vera Gruessner

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...

Top 4 Predictions for Healthcare Payer Industry in 2016

by Vera Gruessner

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...

2016 Premiums on Health Insurance Exchanges Expected to Soar

by Vera Gruessner

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...

Medicaid Expansion, State Exchanges Led to Drop in Uninsured

by Vera Gruessner

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...

Data Sharing Among Payers Advances Population Health Management

by Vera Gruessner

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....

How Payers Can Improve Websites of Health Insurance Exchanges

by Vera Gruessner

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...

Will Health Insurance Exchange Remain Intact Despite Hurdles?

by Vera Gruessner

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...

The Senate Passes Bill to Repeal Chunks of Affordable Care Act

by Vera Gruessner

On Thursday, the United States Senate voted 52 to 47 in passing a legislation that would gut major provisions within the Patient Protection and Affordable Care Act. This is the first time the Senate...

Is UnitedHealthcare Leaving a ‘Death Spiral’ for Exchanges?

by Vera Gruessner

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...

State Health Insurance Exchanges Face Many Challenges

by Vera Gruessner

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...

Medical Loss Ratio Provision Led to $2.4 Billion in Rebates

by Vera Gruessner

A new report shows that consumers have received more than $2.4 billion in premium rebates since 2011 because of the passage of the Patient Protection and Affordable Care Act. The Medical Loss Ratio...

How Value-Based Care Payment Models Could Reduce Costs

by Vera Gruessner

Did you know that 8 million people gained private insurance through the health insurance exchange and 3 million young adults gained coverage since the Affordable Care Act was passed? In recent years,...

Insurance Mergers and Acquisitions May Increase Premiums

by Vera Gruessner

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...

CMS Releases Doctor Lookup Pilot on Health Insurance Exchange

by Vera Gruessner

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...

Health Insurance Marketplace Cuts Costs, CMS Boosts Quality

by Vera Gruessner

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...

Children’s Health Insurance Program Funding Extended to 2017

by Vera Gruessner

The federal government has key programs to help lower class American citizens obtain the healthcare coverage that they need. The Centers for Medicare & Medicaid Services (CMS) offers Medicaid...

10 Million Expected to Enroll via Health Insurance Marketplace

by Vera Gruessner

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...

How to Achieve Cheaper Medical Technology Insurance Coverage

by Jacqueline DiChiara

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...

Poor Consumer Decision-Making in Health Insurance Marketplace

by Vera Gruessner

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...

Major Iowa Insurer Joins Obamacare Health Insurance Exchange

by Vera Gruessner

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...