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Posts tagged: Insurers

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HHS posts data on available plans in 36 states


Having trouble logging in to healthcare.gov? Have no fear. In response to opening-day technical glitches and heavy traffic to its insurance marketplace website, HHS posted data Tuesday afternoon showing available plans and premiums across the 36 states with federally facilitated insurance exchanges.

A total of 140 insurance issuers are offering 1,779 different insurance plans across the marketplace, according to the data.
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Switch ACO model to efficiency incentives from volume, authors say


A Medicare test of accountable care in Wisconsin slowed cost growth last year for about 20,000 seniors. That's good news, of course, to economists and policymakers. But for hospitals, the news was not all good because most payers continue to reimburse on a fee-for-service basis rewarding more admissions and more volume of services.

An article in the Journal of the American Medical Association said that for hospitals that participate in Medicare accountable care programs, such as ThedaCare in Appleton, Wis., competing financial incentives can make their ACO efforts counterproductive.
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SEIU releases video in Spanish on new state exchanges


The Service Employees International Union today unveiled a Spanish-language video featuring two Latino doctors aimed at encouraging Latinos to enroll in a health plan through the new state insurance exchanges.

Two Latino physicians, Dr. Say Salomón and Dr. Michelle Espinoza, recorded videos in English and Spanish and talked about the benefits of signing up once state insurance exchanges become active Tuesday.
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Hospitals seeing benefits of partnering with insurance companies

12:30 pm, Aug. 28 |

Two years ago, Florida Hospital successfully sought a state license to operate its own health plan. That plan soon stalled, as officials realized the cost and time required to build an insurance arm would be too great.

A faster route, they decided, would be to buy one.
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Mass. regulators give Minuteman Health HMO license, rate approval


Minuteman Health, a not-for-profit, consumer-governed health plan sponsored by Vanguard Health Systems and Tufts Medical Center, said Monday that it received an HMO license and premium rate approval from Massachusetts regulators.

The plan will offer individual and small-group plans both on and off Massachusetts' state insurance exchange starting in October.

Minuteman is one of the Consumer Operated and Oriented plans in 24 states around the country made possible by startup loans authorized by the Patient Protection and Affordable Care Act. The goal is to encourage the launch of consumer-friendly plans that foster greater competition in the insurance market. While other co-op plans around the country previously received approval to sell plans on state insurance exchanges, what sets Minuteman apart is that it was originally sponsored by two major hospital systems. Many of the co-op plans were organized by groups and individuals not associated with major providers or investor-owned companies like Vanguard.
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Smoking workers cost private employers $5,816 more

2:45 pm, Aug. 9 |

It's more those smoking breaks than healthcare costs that make smokers more expensive employees.

A new analysis by researchers at Ohio State University found that employees who smoke cost private employers $5,816 more a year than nonsmoking employees. Much of the cost, about $3,077, came in lost time from smoking breaks.
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ACOs could hurt competition, Health Affairs authors say


Fledgling accountable care organizations have faced plenty of challenges. Now a group of economists and lawyers are calling for a close look at issues involving insurance, antitrust and other regulation to avoid “unintended consequences.”

Health policy experts Gary Bacher, Michael Chernew, Daniel Kessler and Stephen Weiner write in the latest issue of the policy journal Health Affairs that ACOs could stifle competition among insurers and providers and potentially drive up prices.
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UnitedHealth's patient engagement program sees health improvements, study says


A patient engagement and reporting program linked to financial incentives yielded multiple improvements in health measures for employees of UnitedHealth Group, according to a study published in the August issue of Health Affairs.

UnitedHealth employees enrolled in the health insurance company's Rewards for Health program were able to earn points good for premium reductions as high as $1,200 for family coverage. The rewards program used health screenings targeting diabetes, cancer and other diseases as well as more general weight control based on the worker's body mass index.
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ANA wants exchanges to have minimum number of RNs


The American Nurses Association wants the federal government to require insurers selling plans on state insurance exchanges to have at least a certain percentage of advanced practice registered nurses in their provider networks.

The ANA proposed the minimum level would be equal to 10% of the number of APRNs who independently bill Medicare Part B in a state.
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Highmark lays off workers, eliminates positions at West Penn


Highmark's turn to try to stanch losses at Pittsburgh's West Penn Allegheny Health System has begun.

Roughly 260 workers at the health system were laid off today and another 200 vacant jobs were eliminated. The four-hospital system, the hub of Highmark's new eight-hospital Allegheny Health Network, has hemorrhaged cash and lost patients in recent years. Now the system must shrink accordingly, said Dan Laurent, an Allegheny Health Network spokesman.
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