Advertisement

Payer

Since the Patient Protection and Affordable Care Act marketplaces opened for enrollment, the importance of getting young, healthy people to sign up for coverage has been a point of concern.

In a Securities and Exchange Commission filing, health insurer Humana has indicated it expects the extension of health plans that don't meet the reform law's requirements to result in a more adverse risk mix than expected for people getting coverage…

The House Energy and Commerce Health Subcommittee held a hearing yesterday to consider how various Medicare, Medicaid, Children's Health Insurance Program and human services payment provisions should continue in the event of a permanent Medicare sustainable growth rate repeal.

Advertisement

Supplemental coverage plans that shield enrollees from cost-sharing increase drive up medical utilization and, subsequently, Medicare spending, according to a study conducted by researchers at the University of Texas and the University of Chicago.

Catholic Health Initiatives, based in Englewood, Colo., is reportedly in the process of buying QualChoice, a health insurer in Little Rock, Ark., according to an Arkansas Business report.

Hospitals and health systems in the U.S. have been facing a new challenge lately: taking on risk. Many organizations are taking on risk through new contracts with payers, but others are taking risk-baring to another level: becoming a provider-sponsored health…

Advertisement