Now that Congress is back in session, the effort to alter Affordable Care Act provision that would expand the definition of the small-group insurance market has begun to gain momentum.
Raising the Medicare eligibility age from 65 would come with a hefty price for states, according to a report from the Urban Institute, produced with funding from The SCAN Foundation.
Make way for yet another startup in the health insurance space--this time, it's a company that wants to harness claims data to improve clinical outcomes for older patients.
The Affordable Care Act may be heading back to the Supreme Court. A U.S. Court of Appeals in the 8th Circuit in St. Louis, Missouri, ruled this week that the ACA unlawfully burdens religiously affiliated employers by forcing them to help cover the costs for certain contraceptives despite being able to opt out of paying for them.
Iowa's plan to expand the state's Medicaid program has not gone smoothly. And now, state officials plan to scrap the program all together.
How will Aetna's ACO and population health strategies mesh with Humana, which through its booming Medicare Advantage business has also been a major player in value-based payment models? To find out, FierceHealthPayer spoke to Charles Kennedy, chief population health officer for Aetna's provider solutions business, Healthagen.
In light of Anthem's deal to acquire Cigna, as well as Aetna's planned acquisition of Humana, Cigna CEO David Cordani is sticking up for the recent consolidation through the industry.
Now that is has unveiled its plan to expand Medicaid, Montana must decide on a private firm to manage the program--and the cost is likely to be high.
The Obama administration recently proposed a rule that would strengthen protections against gender-identity discrimination. But it's not clear how it will impact the health insurance industry.
The federal government has fallen short in tracking spending on state health insurance marketplaces, dividing responsibility across multiple offices and creating confusion in the process, according to a report from the Government Accountability Office.
Amid news that the overall rate of uninsured Americans has declined, a study also highlights the progress the country has made in closing coverage gaps between minority groups and white adults.
Before implementation of the Affordable Care Act, the number of Medicaid and uninsured hospital discharges in states that both expanded and did not expand Medicaid changed in a similar pattern each quarter. But beginning in 2014, new trends indicate that coverage expansion may lead to decreases in uncompensated care for the uninsured.
Since four of the country's major health insurers announced their plans to pair off, the primary industry reaction has been characterized by scrutiny and skepticism. But Art Caplan, founding director of the Division of Medical Ethics in NYU Langone Medical Center's Department of Population Health, is the rare exception to this rule, writing in an opinion piece for The Health Care Blog that stopping these deals is a "terrible idea."
As American companies continue to expand wellness programs for their employees, one former Harvard professor says the whole concept is suspect at best, according to BenefitsPro.
Federal regulators have reiterated the maximum out-of-pocket amount employers can require employees to pay before their healthcare coverage begins: $6,850 for single coverage and $13,700 for family coverage.
Before Aetna gained national attention with its plan to merge with fellow health insurer Humana, CEO Mark Bertolini has been hard at work trying to disrupt what he sees as a broken healthcare system, according to a strategy+business blog post.
Google Capital has invested $32.5 million in Oscar, the startup health insurance company's CEO Mario Schlosser tells the Wall Street Journal. Now, Oscar is valued at $1.75 billion, up from $1.5 billion as of April.
Repealing an Affordable Care Act requirement that most Americans obtain minimum essential health insurance or pay a tax penalty would save an estimated $300 billion over the next decade, according to new federal estimates from the Congressional Budget Office.
The latest healthcare data breach, which involved a massive hack of Excellus Blue Cross Blue Shield, has a U.S. senator calling for action on a cybersecurity bill that has been stalled in Congress.