Alliance of Community Health Plan (ACHP) payers have secured lower healthcare spending for members in 2022 through premium adjustments, efforts related to prescription drug pricing, and more, according...
One in five Americans received regular healthcare during the COVID-19 pandemic due to increased access to health insurance coverage resulting from enhanced marketplace subsidies and Medicaid...
Enrollment on the individual health insurance marketplace has grown with most enrollees finding their health plan through the Affordable Care Act marketplace, according to enrollment data compiled by...
Aetna CVS Health announced that it plans to enter California’s individual health insurance marketplace.
“With millions of Americans being uninsured or underinsured, our plans provide...
As payers finalize premiums for 2023 for the individual market, 2023 individual health insurance market premiums will be subject to a variety of factors, according to an issue brief from AHIP.
The...
The US Department of Health and Human Services (HHS) has approved the “Colorado Option,” a Section 1332 state innovation waiver amendment intended to address health equity in the Centennial...
Payers will issue about $1 billion in medical loss ratio rebates across the individual market, small group market, and large group market in 2022, according to research from the Kaiser Family...
Insurer participation in the Affordable Care Act marketplace may contribute to a lack of health equity, at least in the early days of the Affordable Care Act individual marketplace, a study published...
The No Surprises Act used a couple of methods to reduce surprise billing, though the need for some modifications may remain, according to a resource from AHIP.
“The real problem of surprise...
Around 20 percent of commercial health plan members disenrolled from their plans each year, but a third of those members returned to the plan within five years, suggesting that payers may benefit from...
Payers are responding to the proposed Notice of Benefit and Payment Parameters for 2023 for the individual health insurance marketplace.
The proposed rule addressed a broad range of issues on the...
The individual health insurance marketplace saw changes in enrollment and in enrollees’ healthcare spending risk as a result of the coronavirus pandemic in 2020, a Health Affairs study...
An increasing share of middle class families faced barriers related to care costs on the Affordable Care Act marketplace from 2015 to 2019, a Health Affairs study found.
The researchers used American...
Affordable Care Act (ACA) Marketplace coverage for pregnant people before, during, and after pregnancy was associated with higher rates of prenatal care use compared to people who had discontinuous...
Updated 10/13/21: This article has been updated to include a statement from Andy Marra, executive director of the Transgender Legal Defense & Education Fund (TLDEF).
Colorado has received...
Overall, the list of the top five largest health insurers at the national level has remained stable over the past six years, but the list experienced some small shifts in 2020, according to data from...
Highmark Blue Cross Blue Shield Delaware will distribute more than $12.3 million in Affordable Care Act rebates, the state’s insurance commissioner announced.
“With decreased utilization...
Cigna is expanding its presence in the individual health insurance market, the payer announced ahead of the 2022 open enrollment season.
“Cigna's offerings are designed to support...
Highmark Blue Cross Blue Shield of Delaware is raising its 2022 Affordable Care Act premium, the state’s health insurance commissioner announced.
“Stability in the individual health...
CMS announced that Colorado’s state innovation waiver which introduced a state-based reinsurance program has successfully lowered average premiums and, as a result, received approval for a...
