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CMS released data indicating per-enrollee medicals costs in the individual market remained almost unchanged between 2014 and 2015, suggesting a year-over-year improvement of the Affordable Care Act's individual risk pool.

Community Health Options, Maine's only health insurance co-op, is suing the federal government, claiming the U.S. failed to pay the insurer nearly $23 million in payments owed under the Affordable Care Act's risk corridor program, according to the Bangor Daily…

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Referral management is an increasingly important part of managing the patient experience and coordinating care within a clinically integrated network (CIN). Yet, often times, referral workflows and trends are poorly documented and misunderstood.

Birmingham-based Blue Cross Blue Shield of Alabama requested an average 39 percent premium rate increase on its individual plans sold through the state's 2017 health insurance exchange, The Huntsville Times reported.

The New York State Department of Financial Services approved 2017 health insurance premium rates Friday, with an average 16.6 percent increase on individual plans and an average 8.3 percent increase on small group plans.

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