News

After Obamacare enrollment data snafu, a push for openness

The latest controversy over Affordable Care Act enrollment figures has reignited a demand for more transparency, Politico reported.

House GOP files lawsuit, attacks Obama's hand in ACA implementation

House Speaker John Boehner (R-Ohio) announced Friday that the House of Representatives filed a lawsuit against the Obama administration, claiming the White House violated the Constitution while implementing the healthcare reform law, reports The Wall Street Journal.

State health insurance exchanges face financial uncertainty

The second year of open enrollment through health insurance exchanges has been mostly positive, but the states that run their own exchanges still face a financial test, the Associated Press reported.

We could save $184B if consumers pay more attention to costs

Consumers don't know what health services or procedures cost, so they can't make informed decisions about where and whether they receive care. As it turns out, there are many ways for consumers to get pricing information. So if these tools exist, why don't consumers use them?

Proposed HHS rule: New exchange sign-up period, auto-enrollment choices

In a proposed rule issued Friday, the U.S. Department of Health and Human Services suggested several changes to the health insurance exchanges, including changing the sign-up period and automatic enrollment.

Michigan Blues: Private exchange boosts price transparency

Blue Cross Blue Shield of Michigan launched a private health insurance exchange three years ago that has since helped employers control coverage costs and enable consumers to be more aware of how much their healthcare actually costs, reported MiBiz.

Former HHS official calls for smarter narrow networks

Narrow insurance networks have come under fire for offering a limited list of participating physicians and facilities--but one former White House official says they can, in fact, work.

Executive order stops short of insurance for immigrants illegally in U.S.

President Barack Obama's executive order on immigration reform stopped short of offering healthcare coverage to people who are in the U.S. illegally, but the action should make it easier for them to obtain insurance.

White House overstated Obamacare enrollment

The Obama administration inadvertently added 380,000 standalone dental subscribers to its total count of Affordable Care Act healthcare subscribers, dropping the number of Americans who obtained healthcare through state and federal exchanges to roughly 6.7 million as of Oct. 15--well short of the original Congressional Budget Office projection of 13 million enrollees.

Highmark: Insurers should embrace telemedicine

Pittsburgh-based Highmark recognizes the importance of technology. That's why the insurer decided to cover online visitis via Iagnosis, a telemdermatology solution, for 5.2 million of its members. FierceHealthPayer spoke with Donald R. Fischer, M.D., Highmark senior vice president and chief medical officer, about the insurer's deicision to cover this service, as well as some of the obstacles that may plague insurer's to follow in Highmark's footsteps.

Insurers raise 2015 premiums to make up for under-priced exchange plans last year

Insurers have increased premiums for the most popular plans sold on the health insurance exchanges after under-pricing the policies last year.

GOP lawmakers grill Todd Park over Healthcare.gov glitches

Despite stepping down from his role of U.S. Chief Technology Officer, Todd Parks' Healthcare.gov woes are not over yet.

Obamacare boosts state Medicaid spending

States are spending more on Medicaid, but they're also receiving more from the federal government to cover the costs, according to a report from the National Association of State Budget Officers.

Key demographics lack health literacy, risk not receiving care

President Obama has suggested that shopping for health insurance on Healthcare.gov would be like purchasing plane tickets--fast and easy. But for many Americans, purchasing health insurance is anything but. 

Consumer-driven health plans on the rise

Enrollment in consumer-driven health plans continues to grow, while HMO and PPO enrollment is one the decline. Consulting firm Mercer offers three factors that are contributing to the shift.

Which states can make themselves immune to a subsidy ruling?

Now that the U.S. Supreme Court has decided to hear a case challenging the legality of Affordable Care Act subsidies, many states are looking into options that would make them immune to a potential ruling invalidating subsidies.

 

Healthcare.gov glitch prevents legal immigrants from enrolling

Although the enrollment period for the federal health insurance exchange has so far been much smoother than last year, legal immigrants have been dealing with a particular hiccup, reported the Associated Press.

John Boehner opts for Obamacare, not Medicare

House Speaker John Boehner turned 65 on Monday, but he opted to keep his "expensive" Affordable Care Act plan--$449 per month, with a $1,000 deductible--instead of signing up for Medicare.

Payer-pharma partnerships move 'beyond the pill'

Pharamceutical companies should implement "beyond-the-pill" strategies that move past their traditional business model and work with payers in new ways to meet the challenges facing the healthcare industry.

Brokers see increased shift of employees to private exchanges

With looming healthcare costs on the rise, employers continue to shift their employees to a private exchange. In 2014, nearly 3 out of 4 brokers had clients who stopped providing coverage for their employees and told them to purchase their own health insurance, according to a recent survey from Benefitter.