Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Paying For Health Insurance

Marketing for Short-Term Health Plans May Mislead Consumers

February 6, 2019 - Websites and brokers that sell short-term health plans as a replacement for ACA-compliant coverage often fail to give consumers the detailed plan information necessary to inform their purchase, according to a study conducted by the Urban Institute and funded by the Robert Wood Johnson Foundation. Insurance companies can now sell short-term limited-duration insurance (STLDI) as...

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AHIP Urges “Careful Planning” of Health Reimbursement Arrangements

by Jennifer Bresnick

AHIP is cautioning federal regulators to move slowly and carefully when expanding the availability of health reimbursement arrangements (HRAs) as a more prominent means of paying for healthcare services. In response to a request for...

MD Health Insurance Exchange Rates Up Double-Digits for 2018

by Jesse Migneault

Patients in Maryland looking for insurance in 2018 may have bigger bills than they bargained for. The health insurance exchange rates for individual and group plans in the state have risen by up to 58 percent as payers try to cope with...

Health Insurance Actuaries Propose Ways to Stabilize Market

by Jesse Migneault

A stable health insurance marketplace is good for payers and consumers. Speculation over potential payer mergers, repeal or modification of the ACA, and the future of high-risk and low income subsidy payments have left premium rates and...

Why Payers Should Reduce Cost Sharing for High-Value Care

by Vera Gruessner

Today, more healthcare payers are positioning greater cost-sharing onto the consumers to keep from raising premium rates, according to commentary published in JAMA Internal Medicine. The 2016 National Health Insurance Survey discovered...

Payers Adopt Value-Based Care via Health Insurance Marketplace

by Vera Gruessner

The health insurance marketplace created through the Patient Protection and Affordable Care Act has had a variety of success ever since its inception. This new model of healthcare coverage has provided health insurance for an additional 20...

What Health Insurance Exchanges Should Do to Cut Premium Costs

by Vera Gruessner

The costs of premiums sold on the state health insurance exchanges tend to vary greatly, finds a report from The Commonwealth Fund. For instance, in 2016, the state of Tennessee saw a 38 percent increase in their health insurance premium...


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