Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Health Insurance Exchange

Enrollment through Health Insurance Exchange Continues to Rise

by Vera Gruessner

The deadline to apply for healthcare coverage through the federal health insurance exchange – healthcare.gov – is this Sunday, January 31. Currently, approximately 8.9 million people have either enrolled in a health insurance plan...

Patient Engagement Cuts Healthcare Spending among Payers

by Vera Gruessner

Within both federal and state health insurance exchanges, payers are seeking methods for reducing cost in order to avoid profit loss and dropping out of the exchanges much like UnitedHealthcare’s move away from the marketplace. One method...

Affordable Care Act Brings Greater Health Coverage to Texas

by Vera Gruessner

The Patient Protection and Affordable Care Act may have done its job in one particular state with regard to expanding health coverage options and providing federal subsidies on the health insurance exchange. A study from Rice University’s...

Co-ops on Health Insurance Exchanges Need Greater Surveillance

by Vera Gruessner

The Patient Protection and Affordable Care Act has influenced greater health coverage among American citizens through establishing state health insurance exchanges. However, when creating this platform, a number of Democratic congressmen were...

HIV/AIDS Patients Struggle with High Healthcare Costs

by Vera Gruessner

The high costs within the healthcare industry are often associated with managing the health of patients living with chronic medical conditions. At the J.P. Morgan’s Healthcare Conference in early January, James L. Madara, the Executive...

Medicaid Managed Care Spending Rose to $107 Billion in 2014

by Vera Gruessner

One area in which the federal government has put in excessive amounts of funds is the managed care arena. The reasoning may be due to the growing elderly population of baby boomers. The US Government Accountability Office released a report showing...

How Presidential Nominees May Change World of the Health Payer

by Vera Gruessner

The future of the healthcare industry hangs in the balance as the presidential nominees within the United States have their own plans for how to improve the consumer experience and the world of the health payer. Some of the most transformative...

Guaranteed Renewability Key to Replacing Affordable Care Act

by Vera Gruessner

Even though President Barack Obama vetoed the Budget Reconciliation bill aimed at repealing the Affordable Care Act, there is still the potential that, if a Republican nominee wins the presidential election by the end of the year, new proposals...

Top 3 Difficulties Facing State Health Insurance Exchanges

by Vera Gruessner

Once the Patient Protection and Affordable Care Act was passed into law, a tide of legal challenges came crashing against the legislation. In particular, the state and federal health insurance exchanges faced several differing lawsuits. Legal...

UPDATE: House Passes Bill to Repeal Obama’s Affordable Care Act

by Vera Gruessner

The House of Representatives voted 240 to 181 in favor of the Budget Reconciliation bill, which would repeal large parts of the Patient Protection and Affordable Care Act as well as take away funding from Planned Parenthood for one year, The...

3 Policy Challenges Health Insurance Exchanges Face

by Vera Gruessner

Health insurance exchanges have faced a number of legal challenges in recent months, as some key provisions of the Patient Protection and Affordable Care Act have found opposition. Last June, the Supreme Court ruled on the King v. Burwell court...

8.2 Million Applied for Coverage on Health Insurance Exchanges

by Vera Gruessner

Open enrollment via the health insurance exchanges has seen a dramatic rise in popularity since the starting date of November 1, as more than 8.2 million consumers signed up for health coverage on HealthCare.gov or had their plans renewed, according...

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 set up by the Patient Protection and Affordable...

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 challenges of 2016. Below we outline four...

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 Wood Johnson Foundation released datasets...

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 to heart and truly shown that Medicaid expansion...

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. The federal government offers a background...

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 purchasing of health insurance plans. The Clear...

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 legislation and the decisions of insurance companies...

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 has approved such a bill and has the opportunity...

X

Sign up for our free newsletter:

Our privacy policy

no, thanks