Morning Breakouts

Latest KFF Health News Stories

Aetna Wary About Exchange Expansion As Earnings Climb

Morning Briefing

The insurer, which is participating in health insurance exchanges in 16 states and the District of Columbia, reported strong growth in the first quarter tied to its acquisition of Coventry Health Care Inc. The company said it expected to seek premium increases for next year’s exchange plans ranging from “low single digits to over double digits.”

First Edition: April 25, 2014

Morning Briefing

Today’s early morning highlights from the major news organizations, including reports about a recommendation that Oregon switch its troubled health exchange from a state-run marketplace to healthcare.gov.

Poll Finds Dislike Of Health Law, But Lack Of Support For Its Repeal

Morning Briefing

In the run up to the midterm congressional elections, this and other polls find hope for Democratic incumbents while also probing the factors that continue to make the health law unpopular among many Americans. Also in the headlines, new ads from Americans for Prosperity take on the overhaul.

Health Law Influences Small Business Owners’ Decisions

Morning Briefing

The Wall Street Journal reports that even though the mandate was delayed requiring businesses with more than 50 employees to provide coverage for their workers, the overhaul is affecting how companies are run. In addition, Fox News reports that doctors could be left with unpaid bills if enrollees don’t pay their premiums, and Politico writes about a study that challenges the notion that the health law resulted in millions of canceled policies.

Washington, Minnesota Tout Exchange Sign-Ups, While Oregon Official Exits

Morning Briefing

Another top official for the Cover Oregon exchange submitted her resignation this week, while a technology committee decides whether the state should participate in the federal exchange or fix the existing website with the help of a new contractor. Meanwhile, some consumers decline to buy coverage because they say they cannot afford the policies sold on the exchange.

Aetna Raises Earnings Outlook

Morning Briefing

In other market news, coverage continues of the cost and effectiveness of Sovaldi, a new drug to treat hepatitis C, and the related earnings gained by Gilead Sciences, its manufacturer.

CBO Lowers Spending Forecast For States That Expand Medicaid Coverage

Morning Briefing

The Congressional Budget Office updated its February forecast, which pegged the cost at $70 billion over the next 10 years. The new figure puts the cost at $46 billion. In other Medicaid expansion news, Virginia’s charged debate on this question appears to be spilling over to other issues before the General Assembly, Louisiana rejects expansion again and Arizona Gov. Jan Brewer continues to confront opposition.

Amedisys To Pay $150 Million To Settle Medicare Fraud Case

Morning Briefing

Amedisys Inc., one of the nation’s largest home health providers, will pay $150 million to settle claims that it exaggerated Medicare billings and had improper financial relations with referring physicians, the Department of Justice revealed. Meanwhile McClatchy is reporting that, based on an analysis of Medicare’s list of banned providers, Miami is at the top for Medicare fraud.

Four Insurers Enroll Nearly 95% Of California Sign-Ups

Morning Briefing

Nonetheless, experts say California’s online marketplace increased competition in the state’s individual market. Meanwhile, lower-than-expected enrollment in Oregon creates budget issues, and a Democratic congresswoman from Arizona calls on the administration to extend the enrollment deadline past April 15.

Sales Of Hepatitis Drug Shatter Records

Morning Briefing

Record sales of the pricey new drug, Sovaldi, boosted first-quarter earnings of Gilead Sciences beyond expectations. Meanwhile, Novartis’ recently announced deals with GlaxoSmithKline and Eli Lilly show manufacturers’ swing towards specialization, reports The Wall Street Journal.