State health insurance officials and industry stakeholders are on the brink of approving model legislation to standardize the network adequacy of health plans. But the fate of that legislation hangs on the priorities of 50 very different state legislatures.
During the 2016 open enrollment for Affordable Care Act plans, exchange shoppers generally will see premium increases, though they vary sharply by plan and by market.
The average premium rate hikes for popular health insurance plans sold on HealthCare.gov for 2016 will be steeper than last year.
Hospitals and health systems have been spending more on advertising in recent years, with an emphasis on educating patients and engaging them in their growing role as healthcare consumers.
While the number of primary-care doctors in retainer-based arrangements remains relatively small—about 6,000 across the U.S.—it has grown by as much as 25% over the past few years. Some experts warn concierge practices threaten to exacerbate the primary-care physician squeeze.
Data Points for the week of Sept. 14, 2015, covered the following topics: Diabetes, EHRs, preterm infants, hospital bonds, risk for stroke and ACA coverage
Nevada Health CO-OP is shutting down by Jan. 1, the not-for-profit health plan announced Wednesday. It is now the third co-op to fold, and data suggest it's possible other co-ops may follow suit.
Healthcare providers have gotten some balance sheet relief, thanks to a greater number of paying patients over the past couple of years. But bankruptcy filings suggest the industry has recovered more slowly than the improving economy would indicate.
Policymakers in Medicaid expansion states likely will try to wring some cash from hospitals starting in 2017 when the federal government no longer pays the full tab for the coverage expansion, experts say.
The U.S. Supreme Court's decision to uphold premium subsidies through the federal exchange could spell the end of states establishing their own Affordable Care Act marketplaces. It could even prompt more states to turn over control of their exchanges to the federal government.
Don't count on many states to quickly establish their own insurance exchanges to keep their residents covered if the U.S. Supreme Court this month strikes down premium subsidies in states using the federal exchange.
The physician owner of a Nevada clinic linked to a deadly hepatitis C outbreak pleaded guilty in federal court April 2 to Medicare fraud.