Reform Update: States wary of opening new exchanges as grant deadline looms

By Paul Demko Only two additional states—Idaho and New Mexico—plan to begin operating their own insurance exchanges when the 2015 open-enrollment period starts on Nov. 15. That will leave 35 states relying on HealthCare.gov for the next round of insurance sign-ups now that Oregon appe
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Oregon plans to ditch exchange in favor of HealthCare.gov

By Paul Demko Oregon is poised to abandon its problem-plagued insurance exchange in favor of the federal marketplace and its HealthCare.gov website. Read more…
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Reform Update: Obamacare changes unlikely until after elections

By Modern Healthcare Even as they increasingly embrace Obamacare, Senate Democrats facing tough re-election campaigns are proposing some major fixes to the law. But significant changes are not likely to happen until after the November elections, if then, experts say. Read more…
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Updated Data Now Available on Stop-Loss Policies Nationwide

Self-Insurance Institute of America, Inc. March 19, 2014 – The Self-Insurance Educational Foundation (SIEF) today announced the release of a new report detailing key policy characteristics found in the U.S. employer medical stop-loss (ESL) market. The report, prepared by Milliman, is
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Love it or hate it, Obamacare is accomplishing its mission

By Rick Newman Is it working? After six months of partisan drama over the Affordable Care Act, there’s finally enough reliable information to assess whether the law is doing what it was supposed to do. The qualified answer seems to be yes. Read more…
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Reform Update: States that did not expand Medicaid may see higher premiums, industry experts say

By Virgil Dickson Some industry experts are warning that states that chose not to expand Medicaid coverage under Obamacare could see higher insurance premiums next year as hospitals continue to shift the costs of uncompensated care to private insurers. Read more…
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Calif. health exchange promotes market competition, even with dominant players

By Paul Demko Four insurers accounted for nearly 95% of the 1.4 million health plans selected by customers on California’s insurance exchange during the recently concluded open-enrollment period, but despite that concentration, experts say the exchange increased competition in i
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Health care exchanges look more appealing to insurers the 2nd time around

By Paul Demko, Modern Healthcare Health insurers appear to be increasingly bullish on the fledgling state and federal exchanges, in spite of disastrous rollouts in many of the online marketplaces last fall. Mounting evidence suggests more health plans are poised to compete for exchang
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Advanced Medical Strategies – Press Release

Press Release Advanced Medical Strategies Joins With The Phia Group to Create NetworkDx Software for Comprehensive PPO Contract Analysis Innovative technology addresses healthcare payors’ time-consuming contract review process
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State/Legislative Regulatory News

Exclusive Reporting for the Week of April 21, 2014
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