Reimbursement

Blue Shield of California wants to create "a tiered pharmacy network" in its 2018 small- and large-group plans, according to preliminary proposals the company submitted to the California Department of Managed Health Care (DMHC), a state health insurance regulator.

Among the biggest concerns for insurers is stabilizing the individual market and ACA marketplace as health insurance transitions under a new Republican plan.

American Health Care Act provision would raise the cap on the annual corporate income tax deduction for CEO and other top executives from $500,000 to $1 million.

CMS' initiative was launched in late 2012 in response to the cost of avoidable hospitalizations to Medicare and Medicare.

While insurers will be able to price products more aggressively for seniors, they can expect volatility in the individual market from lack of mandates.

President Donald Trump touts the competitive advantage of allowing insurers to do business across state lines, but payers might not bite.

The authors estimated that 12 percent of telehealth visits replaced visits to other providers, while 88 percent represented new utilization.

Many middle- and lower-income Republicans benefit from the health law's Medicaid expansion and marketplace subsidies.

Wisconsin's average penalty for 2017 will be 0.33 percent, which ranks the state at 17th when compared to other states.

Study should ease concerns that the health law will exacerbate the shortage of primary care providers, study author says.