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.
Enduring influence is the central theme for many of the names atop this year's list, Modern Healthcare's 15th annual ranking. Coming in at No. 2 and No. 3 this year are CEOs of two of the nation's largest healthcare systems. The nation's payers are also well represented at the top.
Aetna's startling withdrawal from many Affordable Care Act exchanges has accelerated the search for ways to preserve competition in those markets.
The CMS is probing whether providers and organizations are steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges to receive higher reimbursement rates.
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.
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.
Aetna will drastically cut back its 2017 participation on the individual markets, the for-profit insurer said Monday evening, just months after expressing optimism in the future of the Affordable Care Act's exchanges.
Aetna and Anthem's multibillion-dollar health insurance mergers may be decided by the end of the year, after all. The federal judge overseeing the U.S. Justice Department's challenges to the deals has sent one case to another judge.