Reimbursement

Topping the list of ACA provisions likely to survive under Trump is the requirement that employers cover workers' children up to the age of 26.

Amendment 69 would have guaranteed health coverage, replacing most private health insurance and taking over the state's Medicaid program starting in 2019.

PwC report says administration is more likely to rely on free market levers, such as price transparency for providers and open negotiations with pharmaceutical companies than the traditional regulatory process.

Spillover effect from Medicare Advantage and the looming value-based insurance design model are leading the way.

Clinton's plan to expand Medicaid in the 19 states that declined to do so would benefit nonprofit hospitals in those states, Fitch says.

Company's profit fell 6 percent to $617.8 million and it expected ACA enrollment to fall by 300,000 members.

Clinicians will also be able to bill, and be paid, more appropriately when they spend more time with their patients.

Sixty-two percent in the survey said their healthcare costs either increased or stayed the same when compared to their previous plan.

Medicare Advantage takes on capitated risk, so why don't these plans qualify as an advanced alternative payment model?

Blue Shield of California, already under scrutiny from the Department of Managed Health Care, is on the hook for almost $25 million this year to enrollees and the employers that cover them and their dependents.