Gross margins and medical loss ratios from 2020 may confirm that payer profitability increased during the coronavirus pandemic, according to a brief from Kaiser Family Foundation.
The researchers...
If Congress made permanent the American Rescue Plan’s Affordable Care Act subsidy increases, then uninsurance might drop, marketplace enrollment could rise, and non-group premiums could decline...
Approximately 5.1 million individuals are caught in the Affordable Care Act’s “family glitch,” according to a recent Kaiser Family Foundation (KFF) analysis.
Under the Affordable...
While both public option and capped provider payment rates have the potential to produce savings, the solutions differ in how they would impact insurer marketplaces, a recent analysis from the Urban...
Opponents of expanding the Affordable Care Act’s premium tax credit policy have argued that doing so would have a negative effect on employer-sponsored insurance, but recent research from the...
Aetna will be returning to the Affordable Care Act's individual health insurance marketplace, CVS Health announced in its 2020 fourth-quarter earnings results.
“As the ACA has evolved...
As major payers like Centene and Cigna emerge from an atypical year, they are predicting in their fourth quarter 2020 earnings reports that revenues will increase in 2021, despite utilization and...
Coronavirus vaccine distribution and the new administration may have an impact on payers’ costs and marketplace growth in 2021, Anthem’s fourth quarter of 2020 earnings call...
Nevada’s state senate might consider a public option based on an existing public program or a model that creates a new Silver or Gold public option plan on the Affordable Care Act...
Although utilization has started to return to normal levels, payers have continued making a profit during the third quarter of 2020, a Kaiser Family Foundation brief discovered.
“In this brief,...
CMS has proposed diminishing federal exchange fees in order to lower Affordable Care Act premiums on the federal exchange platform. This proposal comes as part of the 2022 payment...
Over three-quarters of Affordable Care Act marketplace enrollees will have three or more payer options in 2021, a Kaiser Family Foundation (KFF) report found.
That represents an 11 percent increase...
The Government Accountability Office (GAO) has released a report finding high market concentration across the payer industry and that having increased health plan options does not necessarily reduce...
The individual health insurance market’s premiums mostly go towards highly utilized services, a Robert Wood Johnson study discovered.
“The requirement that these essential benefits be...
As the Supreme Court deliberates the fate of the Affordable Care Act after hearing the oral arguments, payers and the public alike are processing the court case and its implications for the healthcare...
Individual coverage health reimbursement arrangements (ICHRAs), which have been offered as the alternative to the Affordable Care Act, have negative impacts on low-income New Yorkers, according to a...
CMS has approved a Section 1332 demonstration for Georgia which, in part, moves the individual market to a private sector platform.
“I’m thrilled to support this comprehensive state-led...
Compared to 2019, the fully-insured group health insurance markets and Medicare Advantage markets have seen their margins increase and loss ratios decrease in the first half of 2020, with Medicare...
Update 11/5/2020: This article has been corrected to state that the Supreme Court will hear the oral arguments regarding the Affordable Care Act’s constitutionality on November 10, 2020. A...
Since the passing of late Supreme Court Justice Ruth Bader Ginsburg, many have questioned whether the Affordable Care Act is at risk of being overturned, a potentiality that would be extremely...
