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Covered California will exclude hospitals with high rates of C-sections

By Maria Castellucci  |  April 21, 2016

Covered California, the state's insurance exchange, will exclude hospitals with high rates of C-sections in an effort to reduce the overall number of medically unnecessary cesarean births, which can be costly and carry higher risks for mother and baby.

The short and chaotic life of an Obamacare darling

The short and chaotic life of an Obamacare darling

By Michael Waldholz, Crain's New York Business  |  April 18, 2016

A Crain's investigation shows how Health Republic, the insurance company that was supposed to be about people, not profits, misled its customers and ran itself into the ground.

States skip 'vertical choice' on SHOP exchanges because it could raise premiums

By Virgil Dickson  |  April 15, 2016

Twenty states with federally run small business health options program (SHOP) exchanges are taking the White House up on its offer to a launch more options in an effort to attract more employers to use the marketplaces. Those opting out fear it will have a negative impact on their risk pools and...

Commentary: Most top-rated health systems still on board with ACA plans

Commentary: Most top-rated health systems still on board with ACA plans

By Katherine Hempstead  |  April 11, 2016

A lot of attention is being paid to how health insurance products in the ACA marketplaces have changed this year. There are scattered reports about loss of access to specialty hospitals in some markets, and a general narrative suggesting that overall access to top-rated providers in marketplace...

ACA exchange enrollment approaches 13 million

By Bob Herman  |  March 12, 2016

Nearly 12.7 million Americans selected or re-enrolled in health coverage through the Affordable Care Act's state and federal marketplaces, according to HHS data released Friday. The data confirm the government's initial estimates after open enrollment closed Jan. 31.

Onslaught of pro-, anti-Obamacare spots is waiting in the wings

Onslaught of pro-, anti-Obamacare spots is waiting in the wings

By Harris Meyer  |  March 05, 2016

Unlike the last few election cycles, paid political advertising that features healthcare issues hasn't played a starring role in the early primaries. But once the Democratic and Republican nominees are selected, watch out.

Blue Cross parent trims Obamacare losses

By Kristen Schorsch, Crain's Chicago Business  |  March 02, 2016

The Chicago-based parent of Blue Cross and Blue Shield plans in five states, including in Illinois, shrank its net loss in 2015 to $65.9 million, compared with $281.9 million the year before. The insurer generated $31.2 billion in total revenue in 2015, a 12.6% increase from 2014.

HealthCare.gov 'passive' on heading off fraud

By Associated Press  |  February 24, 2016

With billions of taxpayer dollars at stake, the Obama administration has taken a "passive" approach to identifying potential fraud related to the president's healthcare reform law, nonpartisan congressional investigators said in a report due out Wednesday.

'Don't think you can turn into or develop a health plan on a dime'

'Don't think you can turn into or develop a health plan on a dime'

By Modern Healthcare  |  January 30, 2016

Mary Brainerd, CEO of HealthPartners, discusses her system's foray into insurance, the challenges faced by providers that want to make similar moves and her own experience in the healthcare system as a patient with breast cancer. She spoke with Modern Healthcare reporter Bob Herman.

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