Healthcare Reform Blog

Bill MelvilleContributor: Bill Melville
Topics: ACA, Exchanges

When searching for Week 1 winners in the Great Health Exchange Rollout, it’s probably best to avoid healthcare.gov. You can’t log onto the site anyway. If you live in Louisiana, you probably haven’t tried (seven enrollees as of Oct. 7).

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Posted on: 10/9/2013 11:35:15 AM


Merk CherryContributor: Mark Cherry
Topics: ACA, Exchanges, Obamacare

If you are still having trouble getting into the online health insurance marketplace, or your governor has essentially outlawed healthcare navigators, you may want to check out your local supermarket or strip mall. With health insurance now a required commodity, health plans are looking for new ways to engage potential customers, and that includes going into the traditional retail space.
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Posted on: 10/4/2013 2:31:56 PM


Sheri SellmeyerContributor: Sheri Sellmeyer
Topics: Exchanges, ACA

Today the new healthcare exchanges officially launched, but if I had wanted to sign up for an insurance plan in Georgia, Michigan, California, or Rhode Island, I would have been out of luck – at least as of 11:30 Central Time.
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Posted on: 10/1/2013 2:15:08 PM


Chris LewisContributor: Chris Lewis
Topics: PBMs, Private Exchanges, Defined Contribution

Recent news of high-profile companies moving employers to private insurance exchanges has pressured the share prices of publicly traded pharmacy benefit managers. It may be an overreaction—as a chorus of stock analysts suggests—but there’s a reason investors are a bit spooked.
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Posted on: 9/30/2013 3:02:40 PM


Merk CherryContributor: Mark Cherry
Topics: Hospitals, Consolidation, ACA, Narrow Networks

Like in Fantasy Football, Fantasy Health System is about matchups. But instead of racking up passing yards against a weak secondary, or sacks against a weak O-line, a Fantasy Health System must garner a sufficient number of hospitals and physicians in order to influence its reimbursement rate from payers.
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Posted on: 9/26/2013 3:59:38 AM


Jane DuboseContributor: Jane Dubose
Topic: ACA, Exchanges, MCOs, HHS

After more than three years of legal challenges, political grandstanding, rulemaking and technology building, it’s almost show time for the public health benefits exchanges. In a matter of days, Americans will get their first look under the hood of one of the largest new programs ever undertaken by federal and state governments.

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Posted on: 9/25/2013 1:25:24 PM


Bill MelvilleContributor: Bill Melville
Topics: Healthcare reform, Medicaid, exchanges, Kentucky

As the tremors of health reform grow more forceful every day, their epicenter can be hard to pinpoint. Every state has approached the law differently, from Maryland moving ahead on a health exchange in March 2010 to numerous states refusing any role in implementation. Can a single state serve as an indicator for ACA success?

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Posted on: 9/12/2013 3:35:34 PM


Lyda PhillipsContributor: Paula Wade
Topic: Exchanges, MCOs, ACA

If you want to understand the profit potential of the Affordable Care Act - without the obscurant of any political lens – just follow the money. Look at what the publicly held insurers – cold-eyed healthcare capitalists all - are doing relative to the state healthcare exchanges, for example. Are they lining up to participate, or running away?

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Posted on: 9/4/2013 1:17:35 PM


Ric GrossContributor: Ric Gross
Topic: Medicaid expansion, Medicaid MCOs, New Hampshire

At times throughout the past year, following New Hampshire’s Medicaid efforts has been somewhat like watching a mouse on an exercise wheel. A lot of activity but not really getting anywhere.
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Posted on: 8/28/2013 2:34:23 PM


Bill MelvilleContributor: Bill Melville
Topics: Exchanges, ACA

For most of its brief existence, the Washington Health Plan Finder looked like a model state-run exchange. Nine carriers representing a good mix of commercial and Medicaid players filed to sell policies. The state moved quickly to build its exchange infrastructure and chose to operate as an active purchaser, requiring insurers to bid on exchange business.

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Posted on: 8/26/2013 1:00:56 PM


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