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Posted by on May 12, 2014 in Colorado, Hawaii, Highlight, Illinois, Kentucky, Massachusetts, Michigan, Montana, Nevada, New York, Uncategorized | 0 comments

Weekly Health Insurance Industry Highlights


Catch up on healthcare news and gain insights from our own industry gurus.

This week’s news covers everything from increased transparency, to updates on the progress of several state-based exchanges that have experienced problems implementing a functional exchange, to plans for increased competition in the 2015 health insurance exchanges.

This week, we are taking more of an overview approach to the news – with stories organized into groups with similar themes.


CMS proposes price transparency rule that requires hospitals to reveal how much they charge for services

HFMA released a report emphasizing the importance of price transparency to US healthcare reform and the need for cooperation between providers, payers, and employers.

Exchanges to see increased competition in 2015

Multiple insurers are looking to join Washington’s health insurance exchange, this follows the implementation of perhaps the tightest network regulations in the country.

Kaiser announced plans to expand coverage in Colorado, including a planned expansion into areas with the highest premiums in the country.

Several CO-OPs are also planning to expand into new states:

  1. Kentucky Health Cooperative will expand into West Virginia
  2. Massachusetts-based Minuteman Health will expand into New Hampshire
  3. Montana Health CO-OP will expand into Idaho

Exchange technology news

Nevada faces tough decision for moving forward

  1. Stick with Xero
  2. Stick with Xerox with oversight from Deloitt
  3. Adopt an entirely new system
  4. Join the FFM – which would require approval from the Legislature

Massachusetts is preparing to replace the current exchange with hCentive, while simultaneously preparing to use the FFM as a back-up plan.

Hawaii is planning to continue to run its own exchange

Other News

HHS unveiled demographic information about health insurance exchange enrollees

Patients in New York fear that Mt. Sinai will drop low-cost insurance plans

BCBS IL takes the majority of HIX enrollment, with approximately 200,000 enrollees while the five other insurers on the exchange sign-up a combined 18,000 enrollees

  • Obamacare insurers need to step it up to compete with Blue Cross | Crain’s

Two of the largest U.S. health systems—Ascension Health and CHE Trinity Health—have formed a joint company for managed care contracting in Michigan, uniting a network of 27 hospitals, more than 12 physician organizations and 5,000 physicians in the state.

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