A judge's ruling for the plaintiffs in House v. Burwell represents a setback for the Obama administration and a potential financial hit for health insurers. Yet that's not all at stake with such legal challenges to the ACA, Rita Numerof, Ph.D., president of healthcare strategy consulting firm Numerof & Associates, tells FierceHealthPayer.
Combine a drama-hungry news cycle with what one recent study termed a "toxic political atmosphere" surrounding the healthcare reform law, and you get headlines predicting certain doom every time there's even a hint of trouble on the ACA's public exchanges. Thus, this special report takes a look at some of the main "risk factors" influencing the exchanges in order to parse out what's actually worth worrying about.
The healthcare industry's transition from fee-for-service to value-based care requires providers and insurers alike to fundamentally rethink their business models. It also requires data--lots of data.
Like a commuter who runs to catch the closing doors of a train only to wait an interminable time for it to depart, leaders at one of the major health insurers seeking permission from the Justice Department to merge are probably feeling unexpectedly frustrated. Why? A regulatory review process they banked on sailing through seems to have turned out to be more difficult than planned. Read more...
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With just 10 percent of health insurance premiums going to health plans, blaming insurance companies for rising rates makes little sense, according to an opinion piece published in the Albany Business Review.
Health insurers' proposed 2017 rates for the Affordable Care Act exchange plans so far exceed 2016 increases, but can vary widely by state.
A shift in how antitrust officials examine the anticompetitive effects of mergers could add to the mounting challenges faced by the Aetna-Humana and Anthem-Cigna deals.
Reports of behind-the-scenes bickering between Anthem and Cigna have reverberated in the stock market and raised further doubts about the likelihood the health insurers' merger will win approval.
A new report from America's Health Insurance Plans touts the "pioneering innovative programs" that insurers have deployed to meet patients' behavioral health needs.
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Transparency via the OpenNotes initiative, which allows a patient to read their doctor's notes, is creating stronger patient-physician relationships, new research shows.
A study published by researchers at California State Polytechnic University, Ponoma, that finds that certain Fitbit trackers are not accurate when it comes to heart rate monitoring is being called biased by the fitness wearables company.