Obamacare Delay Is A Relief For A Family Business
The owner of Angelo’s restaurant says he’s happy to have a reprieve from the health law
Humana Fills Blank Spots In Mississippi Obamacare Map
Filling a potential coverage void, Humana Inc. said Friday it will sell health insurance in 36 Mississippi counties that might have otherwise been left out of a marketplace for subsidized policies sold under the Affordable Care Act. “I’m elated,” said Mississippi Insurance Commissioner Mike Chaney, who had been working to make the deal happen. “I’m […]
Medicare Advantage Plans Cut Total Cardio Procedures, But Regional Variations Remain
Call them bundled payments, medical homes, capitation or accountable care, new versions of managed care (think HMOs in the 1990s) are health care’s great cost control hope. Researchers publishing in the latest JAMA tested that idea by counting procedures in one of the biggest managed care programs of all: Medicare Advantage plans for seniors. One […]
Delay In Major Health Law Provision Raises Doubts At Critical Stage Of Rollout
The decision to give large employers an extra year to cover their workers was praised by business leaders but complicates the implementation.
Iowa, South Dakota Blues Skip Obamacare Exchange Next Year
Blue Cross and Blue Shield plans, with a long history of selling medical insurance directly to consumers, are expected to provide much of the subsidized coverage sold through the health law’s online marketplaces, or exchanges. “We expect Blue Cross Blue Shield plans will have a strong, reliable presence in the new exchanges,” Alissa Fox, a senior […]
Thousands Of Mississippi Consumers May Not Be Offered Insurance Subsidies
No insurer is offering to sell plans in dozens of mostly rural counties, which would prevent residents from obtaining subsidies through a federal online marketplace.
Test Driving The Obamacare Software
All the outreach in the world won’t count for much if the Obamacare ticket counter doesn’t work. Behind the campaign to educate the uninsured about the Affordable Care Act is the assumption that software to sell the plans will be ready and user-friendly by Oct. 1, when enrollment is supposed to start. That assumption is […]
Grassley: Who Approved These Hospital CEO Bonuses?
Sen. Charles Grassley, a longtime member of the Senate Finance Committee and frequent critic of nonprofit hospitals, wants to know whose idea it was to pay hospital CEOs annual bonuses surpassing a million dollars in some cases. “Is the board in control?” he asked in an interview. “Is the board making these decisions and how […]
Officials Prepare For ‘Biggest Open-Enrollment Season We’ve Ever Seen’
With 100 days until Obamacare marketplaces open, much work remains to be done — here’s where they stand.
Blue Cross-Blue Shield Bets Big On Obamacare Exchanges
The Blues are expected to offer health plans nearly everywhere and are supporting marketing campaigns in key states such as Texas and Florida, where political opposition to the health law has been strong.
Hospital CEO Bonuses Reward Volume And Growth
As the country tries to rein in skyrocketing health costs, hospital leaders are still rewarded for expansion and profits. A KHN investigation, in collaboration with ABC News, looks at employment contracts and incentive pay at nonprofit hospital systems.
How Does The CEO Earn His Bonus? At Most Hospitals, It’s Hard to Know
Despite concerns over the rising cost of medical care, hospitals — even nonprofit ones — give their CEOs large bonuses, and it’s often hard to know just why they’re earning them.
Some Top Hospitals Shun CEO Bonus Pay
Some hospitals view bonuses for CEOs as a way to improve performance, but the leaders of some top hospitals believe all bonuses may be a mistake.
The Arkansas Medicaid Model: What You Need To Know About The ‘Private Option’
Arkansas has broached what could be a deal-making compromise for states in a stalemate over whether or not to expand Medicaid. The Arkansas model gives Washington the increased coverage for the poor it wants, and Republicans something that looks less like government and more like business.
Aetna Cuts Predictions For Obamacare Enrollment
In a new sign that implementing the health law could take longer than expected, insurer Aetna said Tuesday it lowered the number of medical policies it expects to sell through online marketplaces that open for business in October. “This is going to be a slow uptake,” Aetna CEO Mark Bertolini told investment analysts on a […]
Maryland Offers Glimpse At Obamacare Insurance Math
Maryland’s CareFirst BlueCross BlueShield pitches a 25 percent average hike in premiums for individuals, down from 50 percent.
Insurer Centene: We Can Do Arkansas-Style Medicaid
Arkansas is the latest and perhaps best hope for those who want states resistant to the Affordable Care Act’s Medicaid expansion to reconsider. Last week the Arkansas legislature approved a plan to give Medicaid beneficiaries money to buy individual policies from private insurers on the state’s health insurance exchange — the subsidized, online markeplaces due to […]
Despite Win, UnitedHealth Criticizes Medicare Rates, Eyes Pruning Business
If the Obama administration expected the biggest health insurance company to give thanks for this month’s decision to reverse cuts to private Medicare plans, it was wrong. UnitedHealth Group CEO Stephen Hemsley said Thursday that Medicare Advantage rates are still far too low and that the company may shrink its business of managing care for […]
Report: Health Law Tax Credit Could Benefit 26 Million
As experts focus on the cost of requiring everybody to have health coverage next year, a new study highlights the broad reach of federal subsidies to help people pay for it. Nearly 26 million Americans will be eligible for tax credits under the Affordable Care Act to partly offset the cost of insurance in online […]
Health Insurance Actuaries In the Hot Seat On ‘Rate Shock’
Supporters of the health law are questioning the actuarial profession’s close ties to the insurance industry and its predictions that rates are going to soar next year.
