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Editorial: Moving beyond a sterile reform debate

Editorial: Moving beyond a sterile reform debate

By Merrill Goozner  |  August 22, 2015

The latest Kaiser Family Foundation tracking poll showed most Americans are more concerned about the rising price of drugs than repeal of the Affordable Care Act. But drug prices are not the only cost issue on peoples' minds.

Illinois Obamacare chief exits after five months in top job

By Kristen Schorsch, Crain's Chicago Business  |  August 14, 2015

Karin Zosel, executive director at Get Covered Illinois since March, has left the state public health insurance exchange. The news comes less than three months before the third year of enrollment begins and amid big changes at Get Covered Illinois.

N.Y. exchange plans to see average 7.1% rate bump

By Bob Herman  |  August 08, 2015

Health insurance premiums on New York's state-run exchange will rise an average of 7.1% next year. But rates differ greatly by payer, plan type and region, highlighting the difficulties of relying on rough averages.

New HealthCare.gov contractor could be announced next week

New HealthCare.gov contractor could be announced next week

By Shannon Muchmore  |  August 07, 2015

A CMS spokeswoman said the new contractor responsible for overseeing the HealthCare.gov website could be announced next week. The previous contractor, Optum, said in May it was stepping away from the job.

Editorial: The benefits of rate regulation

Editorial: The benefits of rate regulation

By Merrill Goozner  |  August 01, 2015

In what must have been a terrible disappointment for Obamacare bashers on the presidential campaign trail, the early returns from California suggest the rate increases next year in the individual and small-group health insurance market will be modest. The news comes with a caveat: Everything may...

Data Points for July 27, 2015

Data Points for July 27, 2015

By Modern Healthcare  |  July 25, 2015

Data Points for the week of July 27, 2015, covered the following topics: Patient safety, medical homes, health insurance exchanges, Medicaid, readmissions

Employers warming up to private insurance exchanges

By Bob Herman  |  July 24, 2015

Employers and health insurance companies showed a visible appetite for private health exchanges at a conference Thursday, building on executives' desires nationwide to keep the growth of healthcare costs manageable.

AHIP's move signals ACA acceptance

AHIP's move signals ACA acceptance

By Bob Herman  |  July 18, 2015

The decision last week to hire Marilyn Tavenner as CEO of America's Health Insurance Plans signals that the powerful lobbying group has accepted the Affordable Care Act as the new business environment and that it wants a CMS insider to help during the next phase of market development.

ACA repeal-and-replace efforts just got a lot more difficult

By Melanie Evans  |  June 27, 2015

The battle ahead for Republicans who hope to repeal and replace the Affordable Care Act is one that will be fought on the campaign trail, even as markets move ahead with more confidence after last week's U.S. Supreme Court decision.

With subsidies settled, insurers look ahead to rate battles

With subsidies settled, insurers look ahead to rate battles

By Bob Herman  |  June 27, 2015

The U.S. Supreme Court's decision to uphold the Affordable Care Act's premium subsidies in all states was a huge relief to health insurers, potentially encouraging them to step up their participation in the individual exchange market. Now attention turns to tension between insurers and regulators...

Illinois could rent pieces of HealthCare.gov if subsidies disappear, association says

By Kristen Schorsch / Crain's Chicago Business  |  June 16, 2015

Illinois lawmakers should create a state-based health insurance exchange and consider renting certain functions of HealthCare.gov if the U.S. Supreme Court rules against federal subsidies in states that haven't set up their own marketplaces, according to the Illinois Hospital Association.

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