|Fresh U.S. healthcare insights from expert analysts on Healthcare Reform, ACOs, Exchanges, Medicaid, Medicare, regional and national trends…and much more
UnitedHealthcare looked as if it had missed the boat last year when it chose to play in just a handful of states in the healthcare exchanges. But what a difference a year and some competitive pricing makes: Its exchange enrollment has grown by more than 2,700 percent -- to 570,000 -- now that it has a presence in almost half of the states’ health insurance marketplaces for individuals. Read more.
Posted on: 4/22/2015 5:05:06 PM
Contributor: Jenny Kerr
Topic: “California Public Employees’” Retirement System, Anthem, “Blue Shield of California”, “Affordable Care Act”
The impending Cadillac tax in 2018 seemed like a tax on health plans with ultra-rich benefits when it was passed, but the reality is it could hit about one-third of employers if left unchanged.
Posted on: 4/22/2015 12:09:18 PM
SGR, FFS, value-based reimbursement, CHIP, quality
On April 14, 1865, John Wilkes Booth walked into the Ford Theater, entered the presidential box and shot President Abraham Lincoln in the head, forever changing U.S. history.
Posted on: 4/15/2015 1:58:22 PM
Catamaran, CVS Health, Express Scripts, M&A, OptumRx, PBMs, UnitedHealth Group
Since late 2014, insiders have been predicting greater consolidation in the pharmacy benefit management industry. Rite Aid’s acquisition of EnvisionRx earlier this year supported that expectation, and the healthcare wise men and women nodded.
Posted on: 4/1/2015 11:53:19 AM
Contributor: Sheri Sellmeyer
Topics: ACA, Aetna, Anthem, BCBS of North Carolina, Centene, exchanges, PreferredOne, UnitedHealth Group
Now that the dust has settled on year two of open enrollment for the health insurance exchanges, it’s a good time to bust a few myths about the program. Read more.
Posted on: 3/26/2015 4:54:57 PM
Contributor: Sarah Wilson
Topic: ACA, “health plans”, MLR, “narrow networks”, ACOs, exchanges
The healthcare industry continues to become more consolidated, especially as health systems and hospitals form larger, more integrated health systems through mergers and acquisitions. While the Affordable Care Act has encouraged this trend, the Federal Trade Commission has put the brakes on consolidation plans, particularly deals that threaten prices and competition. Read more.
Posted on: 3/24/2015 10:39:21 AM
Contributor: Mark Cherry
Topics: Cadillac Tax, exchange subsidies, individual mandate, narrow networks, Obamacare, Patient Protection and Affordable Care Act, provider consolidation
For its entire five-year history, the Patient Protection and Affordable Care Act has faced constant criticism, stoked by pundits and pols who churn anti-Obamacare sentiment in an effort to score points with consumers/constituents. Read more.
Posted on: 3/24/2015 10:29:39 AM
Contributor: Ric Gross
Topics: Arkansas, Indiana, “Medicaid expansion”, Michigan, “Patient Protection” and “Affordable Care Act”
When the Patient Protection and Affordable Care Act passed five years ago, on March 23, 2010, it dramatically changed the Medicaid landscape across the United States—just not in the way lawmakers intended.
Posted on: 3/24/2015 10:26:26 AM
ACA, “health plans”, MLR, “narrow networks”, ACOs, exchanges
The Affordable Care Act of 2010 has done much more than extending healthcare coverage to millions of Americans – its market reforms have re-defined what health insurance is (and isn’t) for individuals and small groups. Read more.
Posted on: 3/23/2015 3:51:30 PM
CoverOregon, MNSure, “Connect for Health Colorado”, "Affordable Care Act"
More than 8 million Healthcare.gov enrollees with subsidies can’t be wrong – unless the U.S. Supreme Court says so. Read more.
Posted on: 3/23/2015 3:43:54 PM