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Top Dems nix White House demands to alter healthcare deal

Top Dems nix White House demands to alter healthcare deal

By Associated Press  |  October 20, 2017

Top Senate Democrats rejected White House demands Friday to add provisions weakening the ACA to a bipartisan deal on steadying unsettled insurance markets. The compromise already faced an uphill path and this was the latest blow.

Uninsured rate up to 12.3% amid Obamacare turmoil

Uninsured rate up to 12.3% amid Obamacare turmoil

By Associated Press  |  October 20, 2017

The number of U.S. adults without health insurance is up nearly 3.5 million this year, as rising premiums and political turmoil over Obamacare undermine coverage gains that drove the nation's uninsured rate to a historic low.

Healthcare leaders downbeat on compromise ACA bill

Healthcare leaders downbeat on compromise ACA bill

By Merrill Goozner  |  October 19, 2017

While hoping for a solution to address the individual market, executives gathered at Modern Healthcare's Leadership Symposium are skeptical that lawmakers will act.

Trump's health subsidy shutdown could lead to free insurance

Trump's health subsidy shutdown could lead to free insurance

By Associated Press  |  October 19, 2017

If President Donald Trump prevails in shutting down a major Obamacare health insurance subsidy, it would have the unintended consequence of making free basic coverage available to more people, and making upper-tier plans more affordable.

Anthem's new PBM to spark change throughout the industry

Anthem's new PBM to spark change throughout the industry

By Alex Kacik  |  October 18, 2017

There has been heightened scrutiny over pharmacy benefit managers' role in drug pricing in recent years. Anthem's creation of its own pharmacy benefit management company could drive change throughout the industry as health plans and PBMs aim to maintain their competitive edge, experts said.

How Illinois hustled to protect Obamacare from Trump

How Illinois hustled to protect Obamacare from Trump

By Kristen Schorsch  |  October 18, 2017

Even before President Donald Trump announced plans last week to nix Obamacare subsidies, the Illinois Department of Insurance raced over the summer to get insurers on board with a strategy to minimize the financial pain of such a move.

Anthem launches PBM after falling-out with Express Scripts

Anthem launches PBM after falling-out with Express Scripts

By Shelby Livingston  |  October 18, 2017

Anthem is starting a pharmacy benefit manager in partnership with CVS Health after cutting ties with its longtime PBM, Express Scripts. Starting in 2020, when Anthem's Express Scripts contract ends, the new PBM will serve customers of Anthem-affiliated health plans and non-Anthem customers.

Bipartisan deal to fund insurer payments faces tough political slog

Bipartisan deal to fund insurer payments faces tough political slog

By Harris Meyer  |  October 17, 2017

Two key senators have reached a bipartisan agreement to extend funding for cost-sharing reduction payments to insurers for two years in exchange for greater state flexibility on insurance market rules. While the proposal has industry support, it's unclear whether it can clear Congress.

Data Points: New life for association health plans?

Data Points: New life for association health plans?

By Modern Healthcare  |  October 14, 2017

President Donald Trump last week signed an executive order to exempt health plans offered by trade and professional associations from the same coverage requirements as those offered by small businesses and on the individual market. Many fear such a move would drive up premiums for other plans.

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