Healthcare Finance Staff
More than 10,000 Colorado state employees have participated in wellness activities in a health incentive program since July, with one half of them having completed a health risk assessment.
Nearly four years after President Barack Obama signed the Affordable Care Act into law promising the biggest expansion of health care coverage in half a century, the public remains deeply split over it.
The Department of Health and Human Services is getting ready to enforce the Affordable Care Act's attempts to reduce administrative costs, with proposed regulations of health plans.
Even as total Medicare Part D spending grows, generic competition and copay variation have yielded a sustainable rate of per capita cost growth, according to federal Medicare researchers.
As new federal market stabilization programs start, many regulators and insurers are preparing for a new model of risk management: "when adverse selection isn't."
A critical best practice for building an exchange that can operate as expected on day one was learning to say "no," according to the experience of the executives leading the Connecticut and District of Columbia health insurance marketplaces.
Pennsylvania is asking the federal government to experiment with a range of healthcare delivery and payment reforms, and Medicaid is being eyed as a good fit for the patient-centered medical home.
Insurers looking to compete in the ever-changing healthcare marketplace will continue to focus on technology in 2013 both as a means of improving payment models and partnerships with provider groups and as the industry looks to make the transition to consumer-focused products it will offer on health insurance exchanges.
The Department of Health and Human Services estimates that some 25 million Americans will be buying health insurance through Affordable Care Act-certified exchanges within the next few years. But that and a lot of other HIX outcomes remain to be seen.
In the 166 pages of health insurance exchange rules published by the Department of Health and Human Services last March, one provision came as a pleasant surprise to some private HIX firms -- section 155.220, letting public exchanges contract with "web-based entities" to market and sell qualified health plans.