Individual Health Insurance Market

Selected news for the healthcare topic - Individual Health Insurance Market, collected since 10/2017. Recent stories appear in HealthPayer Intelligence. This healthcare topic shares news with ACA, Medicare, Donald Trump and many others.

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Selected Headines

Date Headline (link) Source Relevant Snippet
1/21/2021 Payers Denied 17% of 2019 In-Network Claims on ACA Marketplace HealthPayer Intelligence ... marketplace policies need to be tweaked in order to support greater consistency across transparency data reporting processes, a recent Kaiser Family Foundation (KFF) issue brief found.Examining CMS data from 2018 and 2019 regarding individual health insurance market health plans both on and off the exchange, the KFF researchers identified the rates of claim denials and appeals in order to determine whether transparency data regulations were effective.Research showed that ...
11/24/2020 ACA Marketplaces Gain Payers in 2021, Rural Areas Still Struggle HealthPayer Intelligence ... options in 2021, a Kaiser Family Foundation (KFF) report found.That represents an 11 percent increase over 2020 and a 20 percent increase over 2019.In the new year, 30 payers will enter the individual health insurance market in 20 states. Meanwhile, another 61 payers are expanding their footprints. Due to this activity, on average there will be five payers per state in 2021, which is close to the marketplace ...
11/18/2020 Market Concentration Escalated in Small Group, Individual Markets HealthPayer Intelligence Private Payers News Market Concentration Escalated in Small Group, Individual Markets In the individual health insurance market , market concentration was higher for states with federally-facilitated exchanges, GAO found. The Government Accountability Office (GAO) has released a report finding high market concentration across the payer industry and that having increased health plan options does not necessarily reduce market concentration.The Affordable Care Act directed GAO to investigate payer market concentration ...
11/17/2020 Individual Insurance Market Premiums Cover Widely-Used Services HealthPayer Intelligence Public Payers News Individual Insurance Market Premiums Cover Widely-Used Services Two-thirds of individual health insurance market premiums cover widely used services including inpatient care, outpatient facility costs, and prescription drugs. Source: Thinkstock individual health insurance market ’s premiums mostly go towards highly utilized services, a Robert Wood Johnson study discovered.“The requirement that these essential benefits be included in ACA- compliant nongroup insurance coverage increases premiums beyond what ...
11/4/2020 CMS Issues Long-Awaited, Controversial Final Rule on Price Transparency allzonems.com ... and controversial final rule on healthcare price transparency was released Thursday by the federal government.The rule, mandated under a June 2019 executive order by President Donald Trump, requires private group health plans and individual health insurance market plans to disclose pricing and cost-sharing information in a consumer-friendly format.The mandate, which takes effect on January 1, 2021, has drawn the ire of payers and providers because of ...
11/4/2020 CMS Issues Long-Awaited, Controversial Final Rule on Price Transparency allzonems.com ... and controversial final rule on healthcare price transparency was released Thursday by the federal government.The rule, mandated under a June 2019 executive order by President Donald Trump, requires private group health plans and individual health insurance market plans to disclose pricing and cost-sharing information in a consumer-friendly format.The mandate, which takes effect on January 1, 2021, has drawn the ire of payers and providers because of ...
11/2/2020 CMS clears Georgia bid to nix Healthcare.gov, decentralizing ACA marketplace Healthcare Dive ... coverage. That's "based on entirely unsupported assumptions," Brookings Institution researchers wrote in an early September report . Dive Insight:Georgia's proposal, the latest in a string of efforts from the red state to give its individual health insurance market a facelift since last year, is ill-formed and illegal, some academics and top Democrat lawmakers say.Submitted to CMS in July by Gov. Brian Kemp, a Republican, it's the state's third ...
10/29/2020 CMS Finalizes Price Transparency Rule with Self-Service Tool HealthPayer Intelligence ... with the critical information they need to make informed health care decisions,” the press release states.The rule applies to most group health insurance plans as well as payers on the group and individual health insurance market s.It requires that plans provide members with real-time access to relevant patient pricing information in a manner that is tailored to member needs and conditions.Payers will make the information available ...
10/14/2020 Valley Health Alliance brings new health insurance options for 2021 postindependent.com ... this health insurance market is once again competitive.United Healthcare and its subsidiary Rocky Mountain Health Plans will be competing head-to-head with Anthem Blue Cross Blue Shield in the small group and individual health insurance market s thanks in part to the work of VHA, a regional collaboration between local employers, doctors and hospitals, according to a press release.A comparison of rates with Anthem Blue Cross Blue Shield ...
10/14/2020 Web event will explain updated insurance options for valley residents aspentimes.com ... President and Chief of Human Resources Jim Laing. United Healthcare and its subsidiary Rocky Mountain Health Plans will be competing head-to-head with Anthem Blue Cross Blue Shield in the small group and individual health insurance market s thanks in part to the work of the VHA, according to the release. For more information, go to ourvha.org. Support Local Journalism Donate Support Local JournalismReaders around Aspen and Snowmass Village ...
9/8/2020 #Affordable major medical health insurance Affordable major medical health insurance remmont.com ... s exchange “very near collapse” after she approved 2017 health insurance rate increases averaging 44 percent, 46 percent and 62 percent for Humana, Cigna, and Blue Cross Blue Shield, respectively. And options in the individual health insurance market in Tennessee dwindled for 2017. BlueCross BlueShield of Tennessee left the state ’s three major metro areas where it covered a majority of individual enrollees, although they re-entered the exchange in ...
9/8/2020 Will The Biden Health Plan Work? Forbes ... Nebraska, Maine, Idaho, and Utah––has grown. With that backdrop, here is what Democratic presidential candidate Joe Biden is proposing. First, he is proposing to fix what he sees as wrong with the Obamacare individual health insurance market ––not proposing a single-payer Medicare for all plan and thereby not doing away with employer-based care or tinkering with Medicare as we now have it for seniors. Biden has a ...
9/8/2020 GA’s Affordable Care Act Exchange Model Moves to Public Comment HealthPayer Intelligence ... into a public comment period. This waiver has been the source of much contention between the governor’s administration and healthcare experts and associations. As it currently stands, the state innovation waiver would shift Georgia’s individual health insurance market place from HealthCare.gov to its Georgia Access Model. It would also pursue a reinsurance program through tiered coinsurance. Dig Deeper NY Announces Record Low Individual, Small Group 2021 Premium Rates Instead of using ...
9/4/2020 Miss open enrollment? You’ve got options. healthinsurance.org ... closest thing to real insurance in most states. Federal regulations allow a short-term plan (with renewals) to last up to 36 months, although about half the states have more restrictive rules. In the individual health insurance market (ie, coverage that people buy for themselves, as opposed to getting from an employer), open enrollment for 2021 coverage runs from November 1 to December 15 in most states, although there are ...
9/1/2020 Georgia’s latest 1332 proposal continues to violate the ACA Wordpress.com ... 16. The waiver may not lawfully be approved, and the application in fact fails to satisfy the completeness requirements. Georgia’s prior proposals and the current submission Georgia has been pursuing sweeping changes to its individual health insurance market since early 2019, and is now on its third 1332 waiver proposal. The first iteration , released in November 2019, proposed allowing the sale of individual market health plans that did not offer ...
9/1/2020 New Jersey poised to add state premium subsidies to federal in ACA marketplace blogspot.com ... immediate term, the New Jersey Department of Banking and Insurance (DOBI) has indicated that it plans to spend the entirety of an estimated $224.4 million in revenue collected in 2021 on the New Jersey's individual health insurance market . $77 million would go toward the state's share of the reinsurance program implemented in 2018 (designed to reduce premiums to 15% below where they'd be without the fund). The remaining $147.4 million ...
9/1/2020 Georgia’s latest 1332 proposal continues to violate the ACA brookings.edu jasonlevitis Georgia’s prior proposals and the current submission Georgia has been pursuing sweeping changes to its individual health insurance market since early 2019, and is now on its third 1332 waiver proposal. The first iteration , released in November 2019, proposed allowing the sale of individual market health plans that did not offer all of the ACA’s mandated Essential Health Benefits. It also would have converted the ACA’s open-ended premium ...
8/24/2020 Mississippi leaves West Virginia and Indiana behind balloon-juice.com Mississippi’s individual health insurance market will be structurally more affordable in 2021 than it has been from 2018-2020. Molina, a Medicaid Managed Care Company, filed their rate request with a very interesting couple of sentences on p.26 of the actuarial memo: Silver plan premium rates for benefit year 2021 were developed without federal funding for the cost sharing reduction (CSR) program by [REDACTED]. No adjustments were necessary for the ...
8/20/2020 Payers Have Various Strategies for COVID-19 Treatment Cost-Sharing HealthPayer Intelligence Value-Based Care News Payers Have Various Strategies for COVID-19 Treatment Cost-Sharing Payers on the individual health insurance market and fully-insured group market vary broadly on coronavirus treatment cost-sharing. Source: Getty Image By August 20, 2020 - While by and large patients were under the same waivers for coronavirus testing, payers have implemented a broad range of strategies to handle coronavirus treatment cost-sharing for the long ...
8/18/2020 #Affordable health insurance tn Affordable health insurance tn remmont.com ... s exchange “very near collapse” after she approved 2017 health insurance rate increases averaging 44 percent, 46 percent and 62 percent for Humana, Cigna, and Blue Cross Blue Shield, respectively. And options in the individual health insurance market in Tennessee dwindled for 2017. BlueCross BlueShield of Tennessee left the state ’s three major metro areas where it covered a majority of individual enrollees, although they re-entered the exchange in ...