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Vital Signs
HHS moving forward with risk corridor payments despite GAO's view
By Paul Demko | October 01, 2014
Congress must explicitly appropriate funds to pay for the risk corridors program that is designed to protect insurers from big losses in the state and federal exchanges, according to legal opinion issued by the Government Accountability Office.
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News
Incentive-based contracts thriving in commercial insurance market
By Melanie Evans | September 30, 2014 | Basic Web Basic Web Subscription Details
Health plans that cover two-thirds of commercially insured Americans used incentives this year to motivate hospitals and doctors to improve quality and manage costs, according to a new survey. Those contracts were responsible for 40% of insurers' medical spending.
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News
New California health information exchange names two board members
By John N. Frank | September 29, 2014 | Basic Web Basic Web Subscription Details
Two new directors have been named to the California Integrated Data Exchange's five-person board. The exchange is developing a statewide health information exchange.
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News
Healthcare industry doesn't want unique plan identifiers: WEDI
By Joseph Conn | September 29, 2014 | Basic Web Basic Web Subscription Details
When Congress passed the Health Insurance Portability and Accountability Act in 1996, it saw “administrative simplification” as a general benefit and specifically called for the adoption of several national numerical identifiers as a way to boost efficiency, reduce waste and control...
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News
States not enforcing Medicaid physician access rules, report says
By Modern Healthcare | September 28, 2014 | Basic Web Basic Web Subscription Details
Federal and state officials have not done enough to ensure that Medicaid beneficiaries have adequate access to physicians and as a result Medicaid patients often must wait for months or travel far to see a doctor, HHS’ Office of the Inspector General says in a new report.
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Magazine
Stars, drugs, elections and rate cuts will top insurers' agenda
By Paul Demko | September 27, 2014 | Print Magazine Print Magazine Subscription Details
On the eve of the 2015 open enrollment period for Medicare beneficiaries, insurance leaders will gather in Washington to discuss public healthcare programs.
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Magazine
ACA insurance exchanges attract 25% more insurers
By Paul Demko | September 27, 2014 | Print Magazine Print Magazine Subscription Details
Obamacare supporters touted the good news last week when the CMS announced that at least 25% more insurers will offer plans on the federal and state exchanges for 2015.
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Magazine
UPMC-Highmark feud prompts company to drop insurer
By Bob Herman | September 27, 2014 | Print Magazine Print Magazine Subscription Details
Erie Indemnity Co., an Erie, Pa.-based company that provides automobile, home and life insurance, has decided to drop Highmark as the health plan for its 4,600 employees because of the ongoing blood feud between insurer Highmark and hospital giant UPMC. Its decision could be a harbinger of what...
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News
Reform Update: Narrow-network concerns spur legal, regulatory, political action
By Paul Demko | September 26, 2014 | Basic Web Basic Web Subscription Details
The Patient Protection and Affordable Care Act has heightened concerns about narrow-network plans that have proved popular with consumers during the first year of insurance exchange operations under the federal healthcare law. Insurers and many healthcare economists argue that limiting consumer...
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News
Insurers vying for Obamacare business signal healthy exchange markets
By Paul Demko | September 23, 2014 | Basic Web Basic Web Subscription Details
The number of insurers selling products on the state and federal exchanges will increase by at least 25% for 2015, the CMS announced Tuesday. There will be 77 additional health plans participating in the 44 states for which data is currently available. In 36 of the 44 states, there will be at least...
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