Healthcare Reform Blog

Fresh U.S. healthcare insights from expert analysts on Healthcare Reform, ACOs, Exchanges, Medicaid, Medicare, regional and national trends…and much more
Bill MelvilleContributor: Bill Melville
Topics: Access Health CT, King v. Burwell, Affordable Care Act, Kentucky Health Cooperative, Healthcare.gov, Community Health Alliance, CoOportunity Health, Kynect

Subsidies in federally run health exchange will live to see another open enrollment.

In an opinion penned by Chief Justice John Roberts, the Supreme Court ruled 6-3 that the Affordable Care Act’s authors clearly intended to extend subsidies to people buying coverage through federally facilitated and state-run health exchanges. Read more.
Posted on: 6/25/2015 12:10:53 PM


paula-wade-81x99.jpgContributor: Paula Wade
Topics: Anthem, BCBS, Blue Card, Cigna, consolidation, M&A

Anthem’s June 20 proposal to purchase Cigna Corp. has stumbled in part because of one big unknown: how the deal would hold up against the licensing rules of the Blue Cross and Blue Shield Association, which controls utilization of the Blue brand by all BCBS carriers, including Anthem’s 14 Blue subsidiaries. Read more.
Posted on: 6/22/2015 3:24:43 PM


deborah-white-81x99.jpgContributor: Deborah White
Topics: Barnabas Health, consolidation, Hackensack University Health Network, Horizon BCBS, M&A, Meridian Health System, New Jersey, Robert Wood Johnson Health System

So many hospitals deals are in the works in northern New Jersey that I use an ever-changing scorecard to keep track of them. A dozen deals are active at any given time, including mergers, acquisitions, affiliations, and partnerships. Read more.
Posted on: 6/19/2015 2:33:47 PM


Paula WadeContributor: Paula Wade
Topics: Aetna, Anthem, BCBS, Cigna, Humana, M&A, UnitedHealth Group

The investment world is bubbling with news that the “Big Five” publicly held health insurers have come down with merger fever that could have huge consequences for healthcare markets nationwide.
Read more.
Posted on: 6/18/2015 12:46:46 PM


MichelleLa_Vone_2014_Headshot_MDB3015_81x99web.jpgContributor: Michelle LaVone
Topics: Retail Clinics, Healthcare Reform, Medicaid Expansion, Care Coordination, Population Health Management, Clinical Integration

In a move mirroring a nationwide trend, New Orleans’ leading health system, Ochsner Health, entered into a clinical affiliation with CVS Health in April 2015. The affiliation allows the organizations to share patient information via electronic health records, an exchange that encourages physician and pharmacist collaboration on chronic disease management and medication adherence.
 
Read more.
Posted on: 6/18/2015 9:26:04 AM


Bill MelvilleContributor: Bill Melville
Topics: Blue Cross and Blue Shield of New Mexico, Small Business Health Options Program, WIN Health

The first rates for 2016 premiums have been released and you’ve probably heard some yelling about them. In its infinite wisdom, HHS only shows rates hikes of 10 percent or more. Read more.
Posted on: 6/15/2015 9:18:49 AM



mark-cherry-81x99.jpgContributor: Mark Cherry
Topics: Exchanges, Florida, Highmark, Narrow Networks, Pennsylvania, Premiums, Texas, UPMC

While the national media focuses on the Affordable Care Act insurers that are requesting larger premium rate increases for their exchange plans in 2016, it's important to look between the lines and see which plans are not requesting double-digit hikes for 2016. Read more.
Posted on: 6/11/2015 2:45:48 PM


Contributor: Tyler Dinwiddie
Topics: Consumer-Driven Health Plans”, “Insurance”, “Employee Benefits”

Consumer-driven health plans, which accounted for only 3 or 4 percent of the commercial insurance market less than a decade ago, are now a major factor. Twenty-three percent of employees with employer-sponsored insurance coverage are enrolled in a CDHP, according to a Mercer survey, and CDHP members account for 16 percent of all commercial enrollees in the United States, according to HealthLeaders-InterStudy data. Read more.
Posted on: 5/29/2015 3:41:16 PM


Bill Melville

Contributor: Bill Melville
Topic: Medica, “Mayo Clinic”, “Minuteman Health”, “CoOportunity Health”, “UnitedHealthcare”, “Oscar Health Plan”, “Maine Community Health Options”

The rise of exchanges has not led many regional plans to expand into new states. Most expansions have been the province of upstarts (New York’s Oscar Health Plan) and CO-OPs (Montana Health Cooperative, Maine Community Health Options, and Minuteman Health).

Read more.
Posted on: 5/28/2015 3:08:18 PM


Sarah WilsonContributor: Sarah Wilson
Topic: “Health plan acquisitions”, Aetna, Cigna, Humana, “Medicare Advantage”

Aetna made an aggressive move with its acquisition of Coventry in 2013, and now rumors are swirling that Aetna will soon announce a new acquisition. But this time, the acquisition target may be more than a boutique company like Coventry that would enhance one of Aetna’s existing service lines.

Read more.
Posted on: 5/19/2015 1:16:41 PM


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