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Editorial


For ACA marketplaces, the near-poor are the sweet spot

Andrew Sprung

Among the near-poor, the proportion of the newly insured who gain their insurance through the marketplace was likely to be particularly high.


The ACA's influence on the large employer market

Sue Hart, Milliman

While the modest impact continues in 2015, there are a number of influences that the ACA may have on costs in the large employer market over the next few years.

Feature Video

The Obama Administration recruited Seattle Seahawks quarterback Russell Wilson and cornerback Richard Sherman to the game of selling the Affordable Care Act.
 

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.

 

Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

Despite looming consolidation, health plans and insurers broadly need to attract more younger workers as Baby Boomers retire and markets evolve.

There will soon be one less member company of America's health insurance trade group, a sign of the industry's evolutionary turmoil.

The country's largest state insurance exchange wants to be an active purchaser negotiating on behalf of consumer, and a data-driven convener of affordability and quality.

Taking a cue from Aetna, Ascension Health and companies beyond the healthcare industry, Tufts Health Plan is raising its minimum base wage.

Anthem is scrambling to save a $53 billion takeover of Cigna, while encountering some deep criticisms of its own future potential.

California health officials failed to ensure that more than 9 million residents enrolled in Medicaid managed care plans had access to doctors when they needed them, the state auditor said in a stinging report.

Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve.

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