Large employers are seeing a 5% increase in healthcare costs from last year. Similar increases have occurred over the past five years.
Dr. Patrick Conway, who has served with the CMS in various roles since 2011, will take over from the health plan's president and CEO, Brad Wilson, who is retiring.
The Bloomfield, Conn.-based insurer grew revenue and premiums in the second quarter of 2017, while its profit benefited from its terminated merger agreement with Anthem.
National insurer Aetna's revenue was down in the second quarter of 2017 because of membership losses and lower premiums from its ACA business, but profit jumped thanks to lower costs related to its failed proposed merger with Humana.
Marketplace insurers want to tweak the open-enrollment process and to make it easier to not cover certain drugs as part of their wish list of ways to stabilize the individual marketplace without involving Congress.
State regulators and insurers are in the homestretch of preparing rates for 2018. The federal government's month-by-month approach, however, to cost-sharing reduction payments creates a risky situation for payers, providers and consumers.
Anthem, one of the biggest marketplace players, said it will exit more ACA exchanges in 2018 if it doesn't feel certain that the Trump administration will fund cost-sharing reduction subsidies. That would be a major blow to exchanges.
Unlike recent ranswomare attacks, the breach came from within the company.
Insurers with the largest share of individual market silent on whether they'd return to medical underwriting
Several prominent health insurer trade groups oppose bringing back pre-ACA style individual plans. But if the Cruz amendment became law, would insurers now on the exchanges choose to sell them? Most declined to speculate.
The partnership with Louisville, Ky.-based Humana, in which the insurers will share risk equally, marks one of Oscar's first forays into employer-sponsored insurance, where more than 150 million Americans get their coverage.
The CMS has approved a first of its kind waiver for Alaska that will allow federal money to create a high-risk fund. It will allow the state to continue trying to entice cash-strapped insurance companies to stay on the individual market in the state and not raise premiums.
Small health insurers and the few remaining co-op plans were again sacked with large charges under the Affordable Care Act's risk-adjustment program. Blues plans received the largest payouts.