Healthcare.gov CEO Kevin Counihan believes brokers still play a pivotal role in a post-Affordable Care Act health insurance industry.
Kevin Counihan, CEO of Healthcare.gov, was on the hot seat in front of a Congressional committee hearing Thursday.
The Centers for Medicare & Medicaid Services raised eyebrows when it proposed lower Medicare Advantage reimbursement rates for 2016, but the proposal isn't all bad news for Medicare Advantage plans.
Eighty-seven percent of healthcare industry professionals believe account-based health plans (ABHPs) are important to their business, according to a new study from health plan software-as-a-service vendor Acclaris.
As Medicaid enrollment continues to rise--it now covers as many as 1 in 5 Americans--the number of primary care physicians accepting Medicaid is dropping. Just 34 percent of PCPs now accept Medicaid, which is a 9-point drop from two years ago.
With one week to go until the Supreme Court hears oral arguments regarding the federal subsidies case of King v. Burwell, the tug-of-war between the Obama administration and opponents of the Affordable Care Act rages on. But a new argument has surfaced that could be the saving grace for the administration.
The Health Care Cost Institute has launched a website listing cost information for more than 70 common health conditions and services based on claims data from four major insurers.
Payers need to get creative in order to reach customers who need insurance outside of the typical open enrollment period, according to a recent report from the Robert Wood Johnson Foundation.
With two open enrollment periods behind us--for the most part--it's time to focus on how an exchange's website design factors into a consumer's choice.
The Office of Inspector General is planning to beef up its oversight of the Affordable Care Act, keeping a close eye on subsidies and how the U.S. Department of Health & Human Services protects individuals' personal information, according to an OIG report.
Effective Jan. 1, 2015, Kaiser Permanente had classified many HIV/AIDS medications as specialty drugs, which required members to pay a 20 percent co-insurance fee each time the prescription was filled. Last week, Kaiser reversed this decision.
The slow claims processing cycle makes it difficult for payers to identify high-risk patients. To obtain better access to data, Healthcare IT News offers three suggestions for payers.
There is no backup plan to prevent millions from losing their health insurance if the Supreme Court decides to overturn a key provision of the Affordable Care Act that allows federal tax subsidies for health insurance, Health and Human Services Secretary Sylvia Mathews Burwell stated in a letter to lawmakers.
Although almost 25 state programs employ higher copays for emergency department visits in an effort to decrease ED use, charging more when Medicaid recipients go to the ED may not be effective.
Humana is aiming to help lower the obesity rate by partnering with Weight Watchers, giving its members with employer-sponsored plans access to Weight Watchers weight loss programs that are integrated within Humana's own wellness program.
Healthcare fraud, waste and abuse costs the United States as much as $270 billion annually. A Philadelphia-based startup called TrueClaim thinks it has found a solution to combat this spending issue by bringing patients into the claims reconciliation process.
Arkansas and Kentucky are sitting pretty when it comes to reducing their uninsured rates. From 2013 to 2014, Arkansas experienced a 11.1 percent drop, while Kentucky saw a 10.6 percent drop, according to a new Gallup poll.
The healthcare payer business process outsourcing market grew at a rate of 14 percent in 2013 and is likely to continue growing at that rate over the next few years.
The Centers for Medicare & Medicaid Services claim that its proposal to cut Medicare Advantage reimbursement rates by 0.95 percent in 2016 will not impact insurers' revenue, but industry experts say the changes will hit their bottom lines.