A key driver of 2024 premium growth is predictable: medical trend, including growth in prices paid by insurers for medical services and medications, plus increased utilization, according to this Peterson-KFF Health System Tracker Report.
After analyzing RateReview.Healthcare.gov for 320 insurers across 50 states and Washington,...
A new study by professional services group PwC suggests that health costs are rising quickly and could increase as much at 7% in 2024.
To conduct the study, "Medical Cost Trend: Behind the Numbers 2024," PwC surveyed US health plans covering 100 million employer-sponsored members and 10 million Affordable Care Act (ACA) marketplace...
President Joe Biden has issued a proposal to restrict the sale of short-term health plans that don't meet requirements stipulated by the Affordable Care Act. The proposal would reverse a Trump-era rule that expanded the sale of short-term, limited duration health insurance (STLDI) plans and critics of the president are accusing the...
On Monday, the U.S. Court of Appeals for the Fifth Circuit in New Orleans decided that it would hold a decision from March that overturned the Affordable Care Act's provision for preventative health services coverage.
Earlier in the year, Judge Reed O'Connor for the Federal District Court for the Northern District of Texas ruled that...
It's the time of year for insurers to file their fourth quarter (Q4) earnings reports for 2022. This week, Molina, Kaiser Permanente and Oscar Health posted financial metrics.
Oscar Health beat the odds in 2022 by improving its medical loss ratio from 88.9% in 2021 to 85.3%, Modern Healthcare reports. But the healthtech company still...
On Monday, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that includes revisions to network adequacy standards for Marketplace plans and paths to transitioning Medicaid members to the Marketplace. The proposed rule adds behavioral healthcare, including substance use disorder facilities and providers, to the...
Nearly 3.4 million Americans have enrolled in 2023 individual market health insurance coverage through state and federal Affordable Care Act (ACA) Marketplaces since the beginning of the enrollment period. This is a substantial increase that President Joe Biden attributes to the offering of low-cost plans through federal subsidies from...
This week, accountable care has a new definition following the Health Care Payment Learning and Action Network (LAN) Summit, and the Centers for Medicare and Medicaid Services (CMS) look to get more Affordable Care Act (ACA) plans into value-based insurance design.
Out with the old, in with the new. LAN received feedback from...
The Commonwealth Fund, a private research foundation that promotes health care reform and overall health care system improvement, published a report Tuesday that targets key steps for policymakers in expanding health coverage and affordability.
The report, Next Steps in Expanding Health Coverage and Affordability, looks at the...
The U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (APSE) published a report late last week that projects that 15 million people could lose health coverage once states resume checking Medicaid enrollees for eligibility at the conclusion of the COVID-19 public health...
The expiration of premium tax credits created by the American Rescue Plan Act could cause a $11.4 billion drop in national healthcare spending, including a sharp decline in spending in American hospitals and physicians' practices, according to a new report.
The report from the Robert Wood Johnson Foundation, one of the nation's...Arizona News
In Arizona, Bright Health is one of eight insurers competing for business on the ACA Marketplace and covers about 1,200 Medicare Advantage lives in the state.
Bright Health said its exit from individual markets in Illinois, New Mexico, Oklahoma, South Carolina, Utah and Virginia accounts for less than 5% of its revenue.
Mike...National News
About 774,000 consumers took advantage of the first week of shopping for 2022 health coverage on the HealthCare.gov platform during the Open Enrollment Period (OEP) for qualified health plans (QHPs) as AARP and other stakeholders warn alternative health insurance options including fixed indemnity and short-term plans, and health care...
In Arizona, 40,827 consumers signed up for individual or family healthcare coverage during the special enrollment period (SEP) on HealthCare.gov that ended August 15. Even with expanded subsidies, ACA plans faced competition, often in the form of unscrupulous brokers hawking limited benefit plans, according to an analysis by The...
As of February 15, the special enrollment period for the Affordable Care Act Marketplace has opened. In January, President Joe Biden signed an executive order to open the Marketplace for three months to allow greater enrollment for the uninsured due to the COVID-19 pandemic and economic crisis.
According to NPR, consumer advocates are...Arizona News
A federal judge for the District Court for the District of Maryland ruled that the restrictions from a 2019 Trump administration rule requiring ACA marketplace insurers to bill separately for abortions violated the ACA and were “arbitrary and capricious”. The Department of Health and Human Services and the Centers for Medicare and...Arizona News
Missouri-based managed care enterprise Centene announced an expansion of its Affordable Care Act plan offerings to ten new markets, including Arizona, where it currently offers 17 plans in Maricopa and Pima counties as Health Net: Arizona Complete Health.
As of June 30, Centene served 1.9 million individual exchange members in 20...Arizona News
The ACA marketplace-focused health insurer has filed with Arizona regulators.
Oscar remained in the marketplaces even though it sustained losses in the early years and in the face of turbulence in Washington, DC.
In an interview with Bloomberg, Chief Executive Mario Schlosser described increasing membership, revenues and better...National News
High hopes for a bipartisan solution collapsed as budget bill adopted.
Senators Lamar Alexander (R-TN) and Patty Murray (D-WA), leaders of the Senate Health, Education, Labor and Pensions (HELP) Committee, have found ways to collaborate and solve difficult legislative issues over the years. Optimism abounded when they declared a...National News
Enrollment has faced numerous hurdles this year: shortened open enrollment period, reduced outreach effort, decreased online access, and more.
The deadline to signup for 2018 coverage is December 15. That's this coming Friday. Through Dec. 9, 4.68 million consumers signed up for the insurance in the 39 states that use the federally...
