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
Sheri SellmeyerContributer: Sheri Sellmeyer
Topic: UnitedHealthcare, exchanges

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


Jenny Kerr

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.

Read more.
Posted on: 4/22/2015 12:09:18 PM


Jane DuboseContributor: Jane Dubose
Topic: 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.
Read more.
Posted on: 4/15/2015 1:58:22 PM


Lyda PhillipsContributor: Lyda Phillips
Topics:  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.
Read more.
Posted on: 4/1/2015 11:53:19 AM


Sheri SellmeyerContributor: 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


Sarah WilsonContributor: 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


Merk CherryContributor: 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


Ric GrossContributor: 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.

Read more.
Posted on: 3/24/2015 10:26:26 AM


Paula WadeContributor: Paula Wade
Topics: 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


Bill Melville Contributor: Bill Melville
Topics: 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


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