Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Private Payers News

CMS Awards $22M for Cost Transparency Under Affordable Care Act

by

Last week, the Centers for Medicare & Medicaid Services (CMS) announced in a press release that $22 million of funds are available to help state regulators with issuer compliance according to consumer protections under the Affordable Care...

Slavitt: Health Insurance Marketplace Boosts Patient Engagement

by

The federal government has taken a wide variety of steps to strengthen patient care and healthcare revenue systems throughout the country. Specifically, the Centers for Medicare & Medicaid Services (CMS) and the health insurance marketplace...

Payers Adopt Value-Based Care via Health Insurance Marketplace

by

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 million...

What Health Insurance Exchanges Should Do to Cut Premium Costs

by

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 costs...

Health Plan Solutions: Do Employers Choose Private Exchanges?

by

Today employers are searching for multiple solutions to meet their health plan needs in order to reduce costs and provide the optimal benefits to their employees. The multitude of healthcare regulations hitting the market today is making quite...

Health Insurance Market Faces Restricted Provider Networks

by

Last week, Scott Gottlieb, MD, Resident Fellow at the American Enterprise Institute, spoke in front of the House Committee on Energy and Commerce Subcommittee on Health delivering key information about certain reforms for the health insurance...

Healthcare Affordability Difficult for Marketplace Consumers

by

Healthcare affordability remains a top issue throughout the United States. The Henry J. Kaiser Family Foundation released a brief discussing how many Americans still have difficulty with healthcare affordability since the price of premiums and...

Health Insurance Exchange Consumers Satisfied with Health Plans

by

Despite the fact that the House of Representatives and the Senate attempted to repeal the Affordable Care Act at the end of 2015, consumers seem to be satisfied with their healthcare coverage options after purchasing health plans on the health...

What will the Future Bring for the Affordable Care Act?

by

The future of the Affordable Care Act and health insurance exchanges may not be as favorable as the Obama administration had hoped. Many fear that the major health insurer UnitedHealthcare leaving the state-based exchanges could lead other payers...

Health Insurance Exchange Displays 2 Consumer Engagement Tools

by

The health insurance exchange under the Affordable Care Act is undergoing some renovations over the next year, reports Kevin Counihan, CEO of HealthCare.gov and Dr. Patrick Conway, Principal Deputy Administrator of CMS. In The CMS Blog, Conway...

How the Affordable Care Act Impacts First Quarter Earnings

by

The health insurance industry has had a topsy turvy time learning how to function effectively in the new landscape the Affordable Care Act has brought to the medical field. When it comes to the financial well-being of top payers, the Affordable...

Consumer Engagement Vital in Health Insurance Exchanges

by

The Patient Protection and Affordable Care Act has brought a variety of changes for both insurers and healthcare providers with the establishment of health insurance exchanges holding a top place in reforming reimbursement between payers and...

Risk Adjustment Affects Plans on Health Insurance Exchanges

by

The trade association AMGA, which entails a large membership of medical groups and healthcare delivery systems, submitted comments last week to the Centers for Medicare & Medicaid Services (CMS) regarding its proposal to change risk adjustment...

40% Health Plans Sold via Health Insurance Marketplace Overlap

by

Various health plans sold through the health insurance marketplace may actually overlapped with Medicaid coverage. The Association for Community Affiliated Plans (ACAP) released a study that shows about 40 percent of issuers providing Qualified...

Consumer Education Key for Health Insurance Marketplace Success

by

It seems that those residing in Texas who have purchased their healthcare coverage through the health insurance marketplace do not have as much understanding of certain terms as those who have medical insurance through their employer or via Medicaid...

Insurer Participation in Health Insurance Exchange Decreases

by

Health payers around the country may not be faring as well as hoped within the federal health insurance exchange. The Affordable Care Act may have had a negative impact on health insurance companies, as some are experiencing financial loss when...

California Health Insurance Exchange Targets Costly Hospitals

by

The health insurance exchange from the state of California has some news to report. The exchange is considering the elimination of hospitals from its network that have shown subpar performance or had reported rising medical costs, according to...

Medicaid Coverage Expansion Boosts Healthcare Access in Flint

by

In April 2014, contamination in drinking water began in Flint, Michigan when the region transitioned its water source to the Flint River from its previous source of Lake Huron and the Detroit River. The problem at hand is that corrosion control...

Open Enrollment Dates Announced for Health Insurance Exchange

by

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released its yearly Notice of Benefit and Payment Parameters related to the coverage options on the federal health insurance exchange in 2017. The rulings outline ways...

Should Payers Question ACA’s Health Insurance Exchanges?

by

The health insurance exchanges have faced some significant challenges and even some questioning among the payer community, especially after the insurer UnitedHealthcare announced at the end of 2015 that it is considering whether to leave the...

Continue to site...