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News
Aetna, Sam's Club project signals continuing shift toward private exchanges
By Bob Herman | October 24, 2014 | Basic Web Basic Web Subscription Details
A new health insurance exchange announced Thursday by a large retailer is betting that analysts who predict that roughly 40 million people will buy their health plans through a private online marketplace by 2018 are right.
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News
Reform Update: Partisan standoff looms over crucial risk-corridor payments
October 24, 2014 | Basic Web Basic Web Subscription Details
A big fight could be brewing over Obamacare's risk-corridor program. Insurers are relying on the program to protect them from major losses if their exchange customers end up being sicker and more costly than anticipated. But Republicans—most notably Sen. Marco Rubio (R-Fla.), a likely 2016...
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News
Reform Update: Hospitals attack insurance 'skinny plans' as too thin
By Bob Herman | October 23, 2014 | Basic Web Basic Web Subscription Details
Some employers are building health insurance policies that are technically compliant with the healthcare reform law, yet don't include coverage of inpatient hospital services. Backers of such plans contend that some coverage is better than none, especially for workers in business sectors that...
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News
UPMC, Highmark battle goes back to a courtroom as the state steps in
By Lisa Schencker | October 22, 2014 | Basic Web Basic Web Subscription Details
A federal judge denied insurer Highmark's request Tuesday to block a Wednesday state court hearing over its health plan for seniors, which state officials say violates a previous agreement between Highmark and healthcare giant UPMC.
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News
Uninsured largely unaware of looming enrollment period
By Paul Demko | October 21, 2014 | Basic Web Basic Web Subscription Details
Roughly 90% of uninsured Americans are unaware of the open-enrollment period that begins Nov. 15, according to new polling data from the Kaiser Family Foundation.
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Vital Signs
What's essential in some states isn't in others, study finds
By Bob Herman | October 21, 2014
President Barack Obama's healthcare law mandated that certain health plans start covering common services. But because the federal government offered states latitude in those initial determinations, the definition of an essential health benefit ranges widely across the country, a report...
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Vital Signs
Ebola insurance offered to providers
By Lisa Schencker | October 20, 2014
There may be no cure for Ebola, but healthcare providers can get insurance for it.
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Magazine
Hackensack, Meridian merging into megasystem in N.J., and other briefs
Modern Healthcare | October 18, 2014 | Print Magazine Print Magazine Subscription Details
Hackensack (N.J.) University Health Network and Meridian Health, Neptune, N.J., have signed a preliminary agreement to merge into a regional mega-system.
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News
Reform Update: McConnell's claims on Kentucky exchange, Obamacare baffle experts
By Darius Tahir | October 17, 2014 | Basic Web Basic Web Subscription Details
Senate Minority Leader Mitch McConnell (R-Ky.) has made a habit of saying during his hotly contested race for re-election that repealing the Patient Protection and Affordable Care Act would not necessarily mean shutting down the state's popular insurance exchange that was established under the law.
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News
Reform Update: More providers, insurers showing appetite for narrow networks
By Bob Herman | October 16, 2014 | Basic Web Basic Web Subscription Details
A new health plan collaboration in Wisconsin between a hospital system and an insurer is the latest sign that providers and insurers are betting on narrow networks even as controversy continues over whether these plans offer adequate provider access for consumers.
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