N.J. senators ask FTC to investigate Horizon's controversial tiered network

Controversy continues to swirl over Horizon Blue Cross Blue Shield of New Jersey's choice of preferred hospitals included in its new tiered-network plan. Two Democratic state senators, Nia Gill and Joseph Vitale, have asked the Federal Trade Commission to examine the plans' legality.

As Dems prepare to debate, Bush unveils ACA replacement plan

Just as the Democratic presidential candidates are preparing to square off over a host of issues in their first debate, Republican Jeb Bush has detailed one of his own major policy platforms--his plan to repeal and replace the Affordable Care Act.


Insurers' move likely to hurt Minnesota exchange

Minnesota's health insurance marketplace, MNsure, stands to take a significant hit on revenue and enrollment now that two insurers--Blue Cross Blue Shield and Health Partners--have pulled nearly 5,000 policies off the exchange, the Associated Press reports.

Another CO-OP shuts down: Kentucky Health Cooperative won't offer plans in 2016

Faced with financial difficulties, Kentucky Health Cooperative, Inc. has become the latest state-based consumer operated and oriented health plan to fail, as the health plan announced it will discontinue selling policies at the end of the year.

Amid enrollment push, ACA marketplaces struggle to keep customers

In the upcoming open enrollment period, federal health officials have their sights set on enrolling the 10.5 million remaining uninsured Americans, yet another major challenge for the Affordable Care Act's marketplaces is to keep their current customers coming back, the New York Times reports. announces security upgrade

In response to continusing security concerns, is offering federal health insurance exchange customers a new privacy management option.

High-deductible plans lead to costly care procrastination

As a semi-reformed procrastinator, I know a thing or two about the seductive allure of trading long-term goals for short-term satisfaction. But I've learned that philosophy almost always has an...

PACE could be a template for more ACA changes

A new law that halts expansion of the Affordable Care Act's small-group market shows that it is possible, after all, to make bipartisan changes to the president's signature healthcare law.


State's deal with Blue Shield of California angers consumer advocates

A state agency has approved Blue Shield of California's controversial $1.2 billion acquisition of Care1st, a Medicaid health plan, but consumer advocates are critical of the deal's failure to resolve other outstanding complaints against the company, the Los Angeles Times reports.


Payers, providers push manufacturers toward value-based deals

As the healthcare industry continues to transition to value-based payment models, insurers and hospital groups increasingly want drug and device manufacturers to link their prices to results.


Report: Many who drop Covered California plans stay insured

A new report from Covered California reveals that 85 percent of individuals who have dropped coverage on the state's health insurance exchange end of accessing coverage elsewhere.

More plans earn high marks in 2016 Medicare Advantage Star Ratings

The 2016 Medicare Advantage Star Ratings are out, and the results show an improvement year-over-year in the number of high-performing plans.


Lawmakers at impasse on measure to halt Medicare premium hike

​Leading Democrats say House Speaker John Boehner (R-Ohio) must accept the blame if Congress fails to prevent a sharp increase in Medicare premiums for certain beneficiaries next year, according to The Hill.


Long-term impact of high-deductible health plans uncertain

While high-deductible health plans appear to reduce overall medical expenses by encouraging more selective healthcare use by consumers in the short term, in the long run they may actually increase costs.


Health insurance exchange strategy: Look to Amazon, Netflix

While recent policy changes such as the introduction of the Affordable Care Act's marketplaces are intended to promote healthy competition among health insurers, they are hamstrung by the fact that many consumers still struggle to make informed coverage choices.


Bipartisan mental health reform bill gains momentum in wake of shootings

While the Affordable Care Act (ACA) was supposed to fix disparities in how insurers cover the costs of mental healthcare, the results so far have been mixedAnd now the national debate over the need to provide better treatment for people with mental health problems is heating up.

Obama signs law to halt small-group market expansion

President Barack Obama has officially signed a bipartisan-supported law to amend an Affordable Care Act provision that some warned would lead to health insurance premium increases and harm small businesses, the Associated Press reports. 

High-cost seniors turn to traditional Medicare over Medicare Advantage plans

Many seniors switch from Medicare Advantage plans to traditional Medicare when they become seriously ill, which raises questions about how well MA plans can serve this population of high-cost patients, according to a new Health Affairs study. upgrade aims to make it easier to compare health insurance plans by price

An upgrade to the government's health insurance website should streamline consumer searches for information on doctors, medications and plan costs, according to The Associated Press.

Study: Nearly half of ACA plans don't offer easy access to out-of-network care

Almost half of insurance plans on the Affordable Care Act's federal marketplace don't make it easy for members to access out-of-network coverage, according to a new study.