| 04.24.17 | States hope reinsurance programs can rescue exchanges

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April 24, 2017 Subscribe Our Team Contact Us
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Today’s Rundown

  1. States turn to reinsurance programs to stabilize their struggling ACA exchanges
  2. House GOP doubtful about vote this week on healthcare bill
  3. Conservatives’ goal to relax mandatory health benefits unlikely to tame premiums
  4. [Sponsored] Blair Uses Advanced Analytics to Increase Medicare Stars Rating to 4.5*
  5. Why health insurance companies should rethink attempting megamergers in the future

Featured Story


States turn to reinsurance programs to stabilize their struggling ACA exchanges

Monday, April 24, 2017 ACAWith the Affordable Care Act marketplaces in a precarious position for 2018, some states are taking matters into their own hands. Three states so far have passed bills seeking to aid health insurers facing high medical costs in the individual markets by setting up reinsurance programs. Others have pushed back deadlines for when insurers must submit filings for 2018.

Top Stories


House GOP doubtful about vote this week on healthcare bill

Monday, April 24, 2017 Despite pressure from the White House to vote on a revised healthcare bill this week, House Republican leaders have indicated they’d rather wait until they are sure the measure will succeed. Meanwhile, the Trump administration has signaled to Democrats that it will fund cost-sharing reduction payments if they back funding for a border wall in an appropriations measure.


Conservatives’ goal to relax mandatory health benefits unlikely to tame premiums

Monday, April 24, 2017 From Kaiser Health News: As House Republicans try to find common cause on a bill to repeal and replace the Affordable Care Act, they may be ready to let states make the ultimate decision about whether to keep a key consumer provision in the federal health law that conservatives say is raising insurance costs.


[Sponsored] Blair Uses Advanced Analytics to Increase Medicare Stars Rating to 4.5*

Monday, April 24, 2017 Geneia’s advanced analytics coupled with its three-step process helps payers attain the coveted Medicare Stars rating of four or more stars. Read how.


Why health insurance companies should rethink attempting megamergers in the future

Monday, April 24, 2017 After all that has transpired with two scuttled health insurance mergers, it may be time for the industry to focus on providing more value for customers rather than “swallowing rivals." For one, the pursuit of greater market power has not come cheaply, Leemore Dafny, Ph.D., a professor of business administration at the Harvard Business School, wrote in a perspective piece for the New England Journal of Medicine.

News of Note

The use of prescription drugs in fee-for-service Medicaid was lower in states with medical marijuana laws than in states without such laws. In fact, if all states had had a medical marijuana law in 2014, total savings for fee-for-service Medicaid could have been $1.01 billion. Health Affairs study Summaries of a proposed amendment to the American Health Care Act suggest that the revised version will significantly increase the numbers of uninsured Americans and raise the cost of insurance for many of the nation’s most vulnerable citizens. The Commonwealth Fund post Tufts Health Plan has expanded into Rhode Island to offer Medicaid coverage. It’s the first time in seven years that a new Medicaid plan option is being offered in the state. Announcement

Resources


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Sponsored By: DocuSign The U.S. Department of Justice has collected upwards of $17 billion in settlements from the healthcare industry since 2009, including more than $2 billion from a single life sciences company.

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