Despite news of reduced competition and higher premium rates, the federal government argues most consumers will be able to find marketplace coverage for $75 a month or less.
The American Hospital Association has warned the Affordable Care Act marketplaces lack stability as insurers exit and concern over drastically rising premiums continues.
More than a third of the Affordable Care Act's exchanges will have only one participating health insurer in 2017, significantly up from 4% reported this year, according to a recent analysis.
Aetna and Humana fought back against the U.S. Justice Department's challenge to their proposed $37 billion merger, saying the feds' arguments ignore the fluid nature of Medicare Advantage markets.
Not-for-profit co-ops and other small health plans have been the leading critics of risk adjustment. Now, Aetna is right behind them.
Carolinas HealthCare System, North Carolina's largest hospital chain, has filed a motion asking a federal court to dismiss a U.S. Justice Department lawsuit alleging the system illegally imposes contract requirements on insurers to hinder competition.
NantHealth, the precision-medicine company started by billionaire Dr. Patrick Soon-Shiong, is in negotiations with 13 additional health insurance companies and large employers to cover its costly genome sequencing test for cancer patients.
Republican-led states are pushing back on a federal proposal to limit the use of short-term health plans. The Obama administration aims to move more healthy people into the Affordable Care Act marketplace by limiting cheaper but less-robust coverage options.
The Treasury Department's and HHS' rules governing Section 1332 waiver approvals may dissuade states from applying for the program, according to a government watchdog report.
Industry and regulatory fixes to the ACA marketplaces appear inevitable as impatience and insurer losses escalate.
Commentary: New public-private shared-risk partnership model could revive public insurance exchanges
When it comes to the public insurance exchanges, there is no shortage of issues. The approximately 12 million enrolled is far lower than originally projected. Medical costs are 22% higher. Major insurers are defecting. A new public-private partnership model is needed.
Early last month, U.S. Reps. Diane Black (R-Tenn.) and Earl Blumenauer (D-Ore.)—both of whom sit on the House Ways and Means Committee's Health Subcommittee—introduced a bill that would change how the federal tax code treats high-deductible health plans that are paired with tax-exempt...