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Burwell meets with Dems to discuss strength of ACA marketplace

By Modern Healthcare  |  September 17, 2016

Burwell reportedly cited recent surveys that show enrollees are extremely satisfied with their coverage and that record numbers of people have gained insurance. She also downplayed the significance of UnitedHealthcare and Aetna pulling out of the exchanges. The meeting came just days after...

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%...

Premier paper will recommend ways to enhance ACA

Premier paper will recommend ways to enhance ACA

By Steven Ross Johnson  |  September 17, 2016

With less than four months before a new administration moves into the Oval Office, experts and stakeholders are taking stock of President Barack Obama's landmark healthcare reform law.

Piedmont signs 3-year deal with UnitedHealthcare after messy impasse

By Dave Barkholz  |  August 29, 2016

Piedmont Healthcare in Atlanta has signed a three-year contract with UnitedHealthcare after previously warning its commercial members that they would be treated as out-of-network patients. A two-month stalemate as the system negotiated its contract with the insurer caught customers in the middle.

Iowa agency waives sanctions at start of state's new Medicaid system

By Associated Press  |  August 21, 2016

The state agency overseeing Iowa's transition to a privatized Medicaid program waived any possible sanctions against three insurance companies during the first two months of the new system, and it didn't inform health advocates or lawmakers about the plans.

CMS may crack down on third-party groups that subsidize ACA premiums

By Shannon Muchmore  |  August 18, 2016

The CMS is asking the public for information about providers and organizations that may be steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges in order to receive higher reimbursement rates.

Aetna pullout heightens pressure for ACA exchange fixes as elections near

Aetna pullout heightens pressure for ACA exchange fixes as elections near

By Harris Meyer  |  August 16, 2016

The startling withdrawal of Aetna from many Affordable Care Act exchanges has accelerated the search for ways to preserve competition in those markets, such as making participation a condition for Medicaid contracts or a concession for proceeding with proposed mergers.

Apps for Rx sticker shock

Apps for Rx sticker shock

By Adam Rubenfire  |  July 30, 2016

A number of insurers, pharmacy benefit managers and technology companies are developing smartphone and computer apps to provide accurate drug-pricing information for patients and physicians.

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