The Trump administration is halting billions of dollars of payments to insurers under the Affordable Care Act's risk-adjustment program, a move that further disrupts the insurance market and could lead to more premium increases next year.
Blue Cross and Blue Shield of Illinois blinked after healthcare providers and parents of autistic children complained about proposed cuts in reimbursement rates for coverage of in-home counseling.
New York-based Oscar is bringing its narrow-network exchange plans to Florida, Arizona and Michigan, as well as new metro areas in three states where it already offers insurance, including Ohio, Tennessee and Texas.
The North Carolina Farm Bureau is hoping to follow Tennessee and Iowa organizations in creating a cheaper health plan that eschews Affordable Care Act rules by varying the price of coverage based on a person's health status.
Some health insurers have said they don't expect many members to drop coverage once the individual mandate penalty is zeroed out. But they still may raise 2019 premiums because of effects on the ACA's risk-adjustment program.
The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.
America's Health Insurance Plans, an insurer trade association, is pushing for states to set up reinsurance programs and for Congress to kill the industry's loathed tax to help mitigate premium increases on the Obamacare exchanges in 2019.
As insurers begin to file 2019 rates, two trends are emerging: Rate hikes will be steep and vary widely across states and plans, as regulators use different strategies to stabilize individual markets and promote affordability and choice.
Association plans' ultimate effect will depend on how the U.S. Labor Department finalizes and implements its proposed rule, but the people exiting the exchanges are likely to be far healthier than those who stay, according to an analysis.
Insurers in Maryland and Virginia are requesting double-digit rate hikes for 2019 individual coverage, providing an early glimpse of what other insurance companies may be planning across the country.
A federal judge rejected the government's argument that insurers shouldn't be grouped together in the suit over cost-sharing reduction payments because their alleged damages would vary.
Gov. Scott Walker said the $200 million reinsurance program would lower premiums by 5% in 2019, a dramatic shift after they increased 44% this year as enrollment dropped and fewer providers offered coverage.