Trump has repeatedly threatened to end the cost-sharing subsidies, though the Congressional Budget Office has warned that premiums would rise sharply without the payments. So far, Trump still hasn't guaranteed that payments will be made long term.
Although insurers asked for a 17.7% increase, New York's Department of Financial Services approved a 14.6% bump as it factored in the potential loss of cost sharing–reduction payments that insurers use to cover out-of-pocket expenses for lower-income consumers.
Longtime UnitedHealth CEO Stephen Hemsley will step down Sept. 1, and President David Wichmann will take over. The change marks a major leadership shakeup at the nation's largest health plan.
The deal with Centene Corp. in partnership with the Nevada-based Hometown Health will help ensure coverage is available to all Nevadans, after Anthem Blue Cross and Blue Shield pulled out of the state's healthcare exchange.
The CBO says that ending CSR payments to insurers would cost the federal government more than continuing to pay them, because insurers would hike premiums, and subsidies would then rise as well.
Jon Cotton has taken a step up the executive ranks with his promotion to corporate president of Meridian, a Detroit-based health plan that is Michigan's largest Medicaid HMO. The promotion is effective Sept. 4.
Payers need to choose between automated payment and accurate automated payment.
The Congressional Budget Office is set to release a report detailing what could happen to insurance markets if the federal government stops making cost-sharing reduction payments.
The CMS is pushing the rate-filing deadline to Sept. 5 to give insurers time to adjust their rates to account for changes to the ACA risk adjustment formula.
A fast-growing Chicago company that provides primary care for the elderly has inked what could be a lucrative deal to join Aetna's Medicare Advantage network.
Health insurers' early ACA rate filings for the most popular plans show wide variation in premium changes for 2018, ranging from a 49% increase to a decrease of 5%, a Kaiser Family Foundation analysis shows.
Large employers are seeing a 5% increase in healthcare costs from last year. Similar increases have occurred over the past five years.