As high-deductible plans proliferate and regulators step up scrutiny of hospital collection practices, some providers are investing in tools to make the process less confusing and easier to navigate and using sophisticated algorithms to predict who is most likely to pay.
Instead of one seamless marketplace for individual health plans, the Affordable Care Act has created two different ways to buy the same kind of product. Insurance companies continue to sell millions of plans to consumers outside the exchanges.
Leaders of the federal and state insurance exchanges, policy experts and insurance executives are gathering in Washington this week to hash out the critical legal, technological, financial and policy issues facing the public health plan marketplaces.
The CMS would give inpatient psychiatric facilities a 1.6% rate increase from Medicare in fiscal 2016 under a proposed rule issued Friday.
Policy experts have worried that lower-income people would get bumped back and forth between Medicaid and exchange plans under the Affordable Care Act. But a Modern Healthcare survey of exchanges and insurers suggests such disruption has been modest so far.
Roughly 6 million people chose their employer-sponsored health benefits through a private insurance exchange for 2015, according to consulting firm Accenture.
Provider-owned health plans continue to spring up or get larger as more hospitals and physician groups are moving to take on financial risk for their patients under value-based and capitated payment contracts.
Data Points for the week of April 6, 2015, covered the following topics: New health companies, VA construction costs, death rate on Pine Ridge Indian Reservation, insurance exchanges, Medicare ACOs, uninsured immigrants
When President Barack Obama signed the Affordable Care Act five years ago, he visualized a time when the political hyperbole would be silenced and ordinary people would see that the healthcare law improved their lives.
After two years marked largely by disappointment, lawmakers and healthcare experts are warily eyeing Minnesota's health insurance exchange as it nears its toughest test yet.
Federalism is supposed to protect political accountability.
Private health insurance exchange eHealth is eliminating 160 jobs, about 15% of its workforce, because of difficulties it has faced signing up younger individuals and families through its online platform.