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Private Payers News

Will Health Insurance Mergers Stifle Market Competition?

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Health insurance mergers and acquisitions have been a major topic within the payer industry lately. While companies that have pushed through with their mergers cite their potential cut of competition as a way to lower prices for the end consumer,...

HHS Pursues Higher Enrollment on Health Insurance Exchanges

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The Department of Health and Human Services (HHS) is pleased with the most recent enrollment numbers in the Affordable Care Act’s health insurance exchanges. Department of Health and Human Services Secretary Sylvia M. Burwell stated in...

Payers Bear Monetary Losses in Health Insurance Exchanges

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Several medical insurance companies have experienced losses and financial troubles within the federal and state health insurance exchanges. UnitedHealth Group, for example, has considered pulling out of the health insurance exchanges starting...

12.7 Million Americans Enrolled in Health Insurance Exchanges

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The last day to sign up for 2016 medical coverage during the open enrollment period through the state and federal health insurance exchanges was January 31 and the Department of Health and Human Services (HHS) announced in a press release that...

70% of Uninsured Texans Find Medical Coverage Costs too High

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The Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation (EHF) found in a new report that nearly seven out of ten uninsured Texans cite the high costs of medical coverage as the reason for lacking insurance....

How Health Insurance Exchange Database Handles Enrollment

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The health insurance exchange system set up through healthcare.gov needs to be a robust technological platform in order to manage the vast amount of information and high enrollment numbers associated with the insurance marketplace. The MarkLogic...

Enrollment through Health Insurance Exchange Continues to Rise

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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

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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

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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

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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

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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...

Top 3 Difficulties Facing State Health Insurance Exchanges

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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...

3 Policy Challenges Health Insurance Exchanges Face

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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

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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

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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

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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

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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

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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

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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

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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...

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