New Self-Insurance Market Report

Please click the link to see a news release from the Employee Benefit Research Institute (EBRI) highlighting the results of a newly-released marketplace survey on self-insured health plans.  As you will note, it shows an uptick in self-insurance among small and mid-sized employers and
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Overwhelming Evidence That Obamacare Caused Premiums To Increase Substantially

By Brian Blase Two scholars at the renowned Brookings Institution, Loren Adler and Paul Ginsburg, have published an analysis finding that “average premiums in the individual market actually dropped significantly upon implementation of the ACA [Affordable Care Act].” This contrasts wit
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South Carolina hospital to pay $17 million over physician pay allegations

By Lisa Schencker South Carolina’s Lexington Medical Center will pay the government $17 million over allegations that it paid 28 physicians unreasonably high amounts in exchange for referrals. Read more…
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Big news for Chicago-area Obamacare insurance exchange: Cigna seeks to join

By Ameet Sachdev One of the nation’s largest health insurance companies plans to enter the Obamacare marketplace in the Chicago area for the first time, bringing new competition as other insurers exit or go out of business. Read more…
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In answer to DOJ lawsuit, Anthem argues Cigna deal would boost ACA exchanges

By Bob Herman Anthem threw punches back at the U.S. Justice Department’s attempt to block the insurer’s acquisition of Cigna Corp. The response signals Anthem will indeed litigate the case to the end even though many analysts and policy experts say the company is unlikely
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Medicare’s top 20 costliest drugs

Written by Brooke Murphy Hepatitis C drug Harvoni topped the list of Medicare’s priciest prescription drugs in 2015, according to an analysis by the Associated Press, which cites data from CMS’ Office of the Actuary. Read more…
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What will happen with healthcare policy under President Trump … or … Clinton?

By Harris Meyer The November elections surely won’t end the nonstop, eight-year political war over the shape of the U.S. healthcare system. But the ballot results likely will determine whether the changes driven by the Affordable Care Act continue in the same direction or the sy
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Insurers will consolidate even if mega-mergers fail

By Bob Herman Nearly everyone in healthcare speculated for the past year about how the U.S. Justice Department would respond to the mega-deals proposed by Aetna and Anthem. Officials were concise and stern as they delivered their answers from a podium last week. Read more…
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Humana to leave ACA exchanges in 4 states

Written by Morgan Haefner  Louisville, Ky.-based Humana will exit several state Affordable Care Act individual exchanges it participated in this year, citing around $1 billion in losses, The Hill reported. The insurer will offer plans in no more than 11 state exchanges next year, acco
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What’s bad for health insurers may be good for consumers

By Walecia Konrad After much speculation, it’s official: The U.S. Department of Justice announced last Thursday that it is suing to block health insurer Anthem’s proposed $48 billion acquisition of Cigna and Aetna’s proposed $34 billion acquisition of Humana. The two
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