New York-based Oscar is bringing its narrow-network exchange plans to Florida, Arizona and Michigan, as well as new metro areas in three states where it already offers insurance, including Ohio, Tennessee and Texas.
The quarterly profit—the first Oscar has reported since launching five years ago—signals that the health insurer's strategy of creating narrow networks through partnerships with major brand-name hospital systems may be a winner.
Insurers in Maryland and Virginia are requesting double-digit rate hikes for 2019 individual coverage, providing an early glimpse of what other insurance companies may be planning across the country.
For the past few financial quarters, the Affordable Care Act exchanges have driven higher revenue for St. Louis-based Centene. The three months ended March 31 were no exception.
Health insurance and hospital associations urged HHS to spike the proposed rule to expand access to short-term health insurance, warning it would lead to higher premiums for Affordable Care Act-compliant plans and more uncompensated care delivered at hospitals.
Insurers and a private insurance exchange are coming up with ways to increase enrollment in short-term plans in the wake of a proposed rule to extend those plans. But critics fear this could leave the individual market worse off.
Two top Senate Democrats say the Trump administration is raising more questions than it is answering by changing course on funding risk-corridor payments.
Although the Affordable Care Act's individual mandate is still technically the law of the land, Ohio wants to be the first state officially to waive the requirement that residents have health insurance coverage.
New York-based insurer Oscar Health's individual membership surged to roughly 252,500 this year from about 100,000 in 2017. A narrow provider network with a big name health system at the center is the cornerstone of its strategy.
Cleveland Clinic and New York City-based Oscar Health's co-branded insurance product secured what they estimate to be a 15% share of the individual market in the 2018 open enrollment season, exceeding the partners' expectations.
One week after Idaho made its first move to ditch ACA regulations for its individual market, congressional Democrats are sounding a warning note to HHS Secretary Alex Azar that they will watch how he handles the Obamacare challenge.
Health insurers have paid $3.2 billion in rebates to consumers since 2011 under an ACA provision requiring the companies to spend a certain percentage of premium dollars on medical care and quality improvement.