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One-third of ACA exchanges will lack competition in 2017

By Maria Castellucci  |  August 23, 2016

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.

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.

Exchanges do work for some health plans. Ask Kaiser.

Exchanges do work for some health plans. Ask Kaiser.

By Bob Herman  |  August 17, 2016

Kaiser Permanente is “absolutely” sticking with the marketplaces, CEO Bernard Tyson told Modern Healthcare. Some peers that are fleeing exchanges, he said, priced low to gain market share and lost money when Congress underfunded the ACA's risk-adjustment program.

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.

Aetna deals blow to ACA exchanges with mass retreat

Aetna deals blow to ACA exchanges with mass retreat

By Bob Herman  |  August 16, 2016

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.

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