Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Health Insurance Exchange

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 provision under the Affordable Care Act...

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, the health insurance market and the...

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 a large number of medical...

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 website that offers coverage plans on 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 premiums. The Centers for Medicare &...

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 coverage for those that have healthcare...

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 insurance marketplace has expanded access to...

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 past decade, according to a new paper...

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 was essentially expected to provide...

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 choose which type of healthcare...

Do Bundled Payment Models Pose Complications for Surgery?

by Vera Gruessner

Due to ongoing reforms in the healthcare industry, both federal government agencies as well as insurance companies are looking to renovate healthcare payment methods. Value-based care instead of fee-for-service is one example of the...

Issues Surround Health Insurance Marketplace despite ACA

by Vera Gruessner

The health insurance marketplace underwent tremendous transformations with the passage of the Obama administration’s Patient Protection and Affordable Care Act. New regulations have required everyday citizens to purchase health...

Do All Health Insurance Exchanges Follow Federal Regulations?

by Vera Gruessner

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...

GAO Report Uncovers 2015 Healthcare Premium Range Variation

by Jacqueline DiChiara

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...

$67M ACA Funds to Help Affordable Health Insurance Enrollees

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) announced yesterday an abundant $67 million in Affordable Care Act (ACA) grant awards to aid outreach initiatives and help those individuals confused about health coverage and...

Healthcare Payers’ Top 5 Areas of Advancement, Opportunity

by Jacqueline DiChiara

Healthcare payers are an imperative facet of the healthcare industry. As the ones paying for the care patients receive – often acting as insurance providers, insurance carriers, or health plan sponsors – payers sell health...

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