The CMS said the Affordable Care Act may have caused a significant increase in improper Medicaid payments. The rate of improper payments has jumped from 5.8% or $14.4 billion in fiscal 2013 to 9.78% or $29.12 billion in fiscal 2015, according to an HHS financial audit.
The CMS has proposed mandating minimum network standards for health plans sold on the federal insurance marketplace in 2017 as part of an effort to handle the broad shift toward narrow provider networks.
Even if UnitedHealth Group does bail, it's by no means certain that other insurers—many of which are more heavily invested in the exchanges—would immediately follow. And some analysts say UnitedHealth's announcement was mostly about putting pressure on the Obama administration.
UnitedHealth Group has lost $425 million from health plans sold on the Affordable Care Act's marketplaces, which forced the company to lower its profit projections for the rest of the year. The company suggested it may exit the exchanges altogether by 2017.
Catherine Jacobson, president and CEO of Froedtert Health, Milwaukee, outlines the goals of her system's health plan joint venture with Ascension Health, Froedtert's Medicaid experience in a state that has not expanded eligibility under the Affordable Care Act, and her views on risk-based...
During the 2016 open enrollment for Affordable Care Act plans, exchange shoppers generally will see premium increases, though they vary sharply by plan and by market.
The opening hours of the Affordable Care Act's third open-enrollment period passed with no major technological glitches, putting the meltdown of fall 2013 further into the Obama administration's rearview mirror.
Indianapolis-based Anthem lost nearly 70,000 exchange plan members in the third quarter of this year, with many moving from Anthem to another insurer.
Kentucky residents on Tuesday will choose their next governor, who will determine whether to continue Medicaid expansion in the state under the Affordable Care Act.
Another gravestone has been added to the Affordable Care Act's co-op plan cemetery. Arches Health Plan in Utah will shut down by the end of the year, the state said last week.
The Republican candidate in Kentucky's gubernatorial race has said he would eliminate the state exchange and roll back Medicaid expansion. His Democratic opponent has vowed to continue the programs.
Open enrollment on the Affordable Care Act insurance exchanges starts in less than two weeks. Coverage expansion supporters are worried about whether the exchanges will succeed in luring a large number of new enrollees for 2016.