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Q&A: 'If Mayo was a high-cost provider, we would be cut out of many of these networks'

Q&A: 'If Mayo was a high-cost provider, we would be cut out of many of these networks'

By Modern Healthcare  |  September 24, 2016

Even though Mayo Clinic has been ahead of the curve in studying how to measure and reward value in healthcare delivery, it isn't immune to challenges such as physician burnout and the mounting pressure to reduce costs and adopt value-based payment models. Mayo President and CEO Dr. John Noseworthy...

Blue Cross and Blue Shield of Nebraska exits ACA exchange

By Bob Herman  |  September 23, 2016

Blue Cross and Blue Shield of Nebraska, the state's dominant health insurance company, said Friday it will not sell individual plans on the insurance marketplace for 2017. However, it is not a full exit, as the insurer will keep a small presence in the off-exchange market.

What insurers are doing to fix their rap for awful customer service

What insurers are doing to fix their rap for awful customer service

By Bob Herman  |  September 17, 2016

A poll from the Kaiser Family Foundation found people ranked health insurance companies almost as unfavorably as pharmaceutical companies and oil conglomerates, due in no small part to insurers' reputation for poor customer service.

More Americans gain health coverage, but their cost-sharing keeps rising

More Americans gain health coverage, but their cost-sharing keeps rising

By Bob Herman  |  September 17, 2016

New data from the U.S. Census Bureau confirmed just 9.1% of Americans had no health insurance in 2015, the lowest rate ever recorded and a figure that has been pinned to the ACA coverage expansion. Uninsured rates went down across nearly all races, age groups and income levels from 2014 to 2015.

ConnectiCare does about-face, will stay on state exchange

ConnectiCare does about-face, will stay on state exchange

By Erica Teichert  |  September 17, 2016

ConnectiCare said it discussed its planned departure with state regulators and its beneficiaries and ultimately decided to stay in the ACA market. The company had earlier said it would leave in the wake of a state court's Sept. 9 rejection of the insurer's attempt to force through a proposed 27%...

New Jersey co-op insurer latest to close its doors

By Erica Teichert  |  September 17, 2016

Health Republic Insurance of New Jersey will be placed in rehabilitation, which will allow current customers to continue to use their health insurance policies through year-end. The state Banking and Insurance Department said the co-op will advise clients on their 2017 options.

New Jersey co-op insurer shuts down

By Erica Teichert  |  September 13, 2016

New Jersey's insurance regulator on Monday shut down the state's co-op insurer because of its deteriorating financial conditions, marking the demise of yet another Affordable Care Act insurer.

Obama meets with remaining insurers on Affordable Care Act exchanges

Obama meets with remaining insurers on Affordable Care Act exchanges

By Virgil Dickson  |  September 12, 2016

Following the exodus of UnitedHealthcare and Aetna from insurance exchanges established by the ACA, President Barack Obama met Monday with the heads of some of the remaining payers to discuss the future of the federal insurance marketplace.

N.Y. regulators announce measure to protect some insurers

By Associated Press  |  September 12, 2016

New York's Department of Financial Services has issued an emergency regulation intended to help the state's health insurers deal with a federal requirement that puts some under sharp financial stress.

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