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
- CMS proposes long-delayed price transparency rule | Modern Healthcare
- Requirement for Transparency of Hospital Charges under the Affordable Care Act | Department of Health and Human Services – Centers for Medicare & Medicaid 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.
- HFMA: Healthcare pricing transparency a shared responsibility | Health Leaders
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.
- 4 more insurers want to join state health exchange | The Seattle Times
Kaiser announced plans to expand coverage in Colorado, including a planned expansion into areas with the highest premiums in the country.
- Kaiser to expand medical coverage to high-cost mountain areas | The Denver Post
Several CO-OPs are also planning to expand into new states:
- Kentucky Health Cooperative will expand into West Virginia
- Massachusetts-based Minuteman Health will expand into New Hampshire
- Montana Health CO-OP will expand into Idaho
Exchange technology news
- One by one, states shutter health insurance exchanges | CNBC
- HealthCare.gov looks like a bargain compared with state exchanges | NPR
- Avalere analysis on exchange enrollment data | Avalere
Nevada faces tough decision for moving forward
- Stick with Xero
- Stick with Xerox with oversight from Deloitt
- Adopt an entirely new system
- Join the FFM – which would require approval from the Legislature
- Gov. Brian Sandoval: No good choices as Nevada plots next move to fix health exchange | The Republic
Massachusetts is preparing to replace the current exchange with hCentive, while simultaneously preparing to use the FFM as a back-up plan.
- Mass. scrapping flawed health insurance website | The Boston Globe
Hawaii is planning to continue to run its own exchange
- Hawaii to keep running own exchange | BenefitsPro
HHS unveiled demographic information about health insurance exchange enrollees
- 85% of Obamacare enrolles received financial assistance, Sebellius says | Modern Healthcare
- ASPE Issue Brief | Department of Health and Human Services
Patients in New York fear that Mt. Sinai will drop low-cost insurance plans
- Patients Fear Mt. Sinai Will Drop Low-Cost Insurance Plans | The New York Times
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.
- Ascension Health, CHE Trinity form integrated network in Michigan | Modern Healthcare