Healthcare Finance Staff
An estimated three million people currently receive employer health benefits through a private exchange, according to new report released Thursday at AHIP Institute 2014.
Sovaldi has brought high prices of specialty drugs to the fore. Less examined so far are proactive approaches insurers and drug benefits managers can use to curb the growth trend without sacrificing quality or access.
Insurers selling public exchange plans last year faced a lot of uncertainty. This year it's a bit better, but the plans remain a product design experiment with confounding variables in an environment much in flux.
The value-based reimbursement model predicted by many to dominate the reimbursement market is also the one they say will be hardest to implement.
If your state is building a health insurance exchange, or you hope it ultimately will, the experience of Washington, Kentucky and Minnesota can help.
To some, many of the new bronze-level health plans sold in public exchanges are de facto catastrophic plans. Others say, "Not so," as young people especially need more low-premium plans.
In the new era of individual consumer-based health insurance, insurers have to earn the trust of Americans if they want to address the costly chronic disease burden.
While Medicare's ACOs have had mixed early outcomes, some young commercial accountable care ventures, including PPO plans, are showing promise.
The boom in employer self-funding is coming along with many more catastrophic claims, raising concerns for insurers bundling third-party administrative services and stop-loss coverage.
The U.S. Senate voted in Sylvia Matthews Burwell as the new Secretary of Health and Human Services on Thursday afternoon. She is slated to officially take over for outgoing Secretary Kathleen Sebelius after a swearing in ceremony on Monday.