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.
Maestro Health, a Chicago-based, healthcare-benefits company, sold for $155 million to AXA Group, a global insurance giant.
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.
Healthcare stakeholders are calling on Congress to pass legislation that will help stabilize the ACA insurance markets in the wake of the soon-to-be-repealed individual mandate penalty. But experts say states would be better off taking action on their own.
Enrollment for 2018 was just 400,000 people shy of last year's enrollment total, showing interest in Affordable Care Act coverage remains strong.
Though interest in ACA marketplace coverage remains high, this year's sign-ups for 2018 individual coverage are unlikely to match last year's. Meanwhile, the CMS says 2.1 million people have dropped their Obamacare plans for 2017.
With little more than a week before enrollment ends for individual exchange coverage, the number of sign-ups has fallen way behind the pace of previous years, given the shortened enrollment period.
Loss of the individual mandate, loosened regulation of short-term plans feared by healthcare industry
The tax bill's repeal of the Affordable Care Act individual mandate combined with the expansion of short-term health plans could deliver a severe blow to the ACA-regulated individual market serving nearly 20 million Americans.
Prior to the start of open enrollment, many experts feared sign-ups would drop this year because of deep cuts in federal funding for Obamacare marketing and outreach. But so far, enrollment continues to outpace last year.
Around 20,000 people enrolled in Healthy Michigan could lose public coverage next April because they have not participated in at least one 'healthy behavior' such as smoking cessation.