Aug. 6-10: As Navigator Deadline Approaches, Individual-Insurance Market Strengthens
Aug. 2—As the Trump administration prepares to accept the latest round of navigator applications this week, the individual health insurance market appears to be strengthening.
Why Two Health Systems Opted Not to Launch Their Own MA Plans
July 23—After hospitals and health systems have had some highly publicized struggles operating their own Medicare Advantage (MA) plans in recent years, two health systems recently opted to partner on an MA plan with an insurer.
States Trying to Stabilize ACA Marketplaces
July 19—Amid growing policy uncertainty at the federal level, states are undertaking a range of responses to stabilize the individual-insurance marketplaces. But so far, the effect is uncertain.
Exemptions to Anthem’s ED Policy
Anthem will not deny an ED claim based on the prudent layperson standard if certain conditions apply.
MA Gets Better Outcomes Despite Sicker Enrollees: Study
July 10—Contrary to general belief, Medicare Advantage (MA) plan enrollees are initially sicker than those in fee-for-service (FFS) Medicare, according to new research. And once enrolled, MA beneficiaries get better care at a lower cost.
Pilot to Offer APM Bonuses to Physicians in Medicare Advantage
July 3—Medicare plans to launch a pilot—as soon as this year—to allow physicians paid through Medicare Advantage value-based arrangements to qualify for the same bonuses as those working in advanced alternative payment models.
Definition of “Employer” under Section 3(5) of ERISA – Association Health Plans Final Rule Executive Summary
This document summarizes the Employee Benefits Security Administration's Association Health Plans final rule, published in the June 21, 2018, Federal Register.
Rejecting Hospital Concerns, Administration Expands Association Plans
June 19—Despite calls from major hospital groups to drop a proposed expansion of association health plans (AHPs), the Trump administration has finalized those rules.
June 4-8: High-Deductible Health Plans Draw Congressional Scrutiny
May 31—Amid record-breaking enrollment in high-deductible health plans (HDHPs), a congressional panel plans to examine their growth and consider policies to bolster health savings accounts.
How MA Plans Are Changing VBID Approaches
May 18—Medicare Advantage (MA) plans are evolving their approaches in the expanding Medicare pilot for value-based insurance design (VBID).