Five Keys for the Successful Implementation of a State-Based Marketplace
For states contemplating the move to an SBM, here are five essential considerations for a successful transition with the aim of boosting enrollment.
Oliver Wyman: 5 ACA Trends To Watch Over the Next Decade
A recent Oliver Wyman report laid out five Affordable Care Act trends to watch, including the rise of ICHRAs and the need for a "seamless member experience."
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Transforming Patient Care: The Role of AI-Powered Assistants
The progress in artificial intelligence (AI) is reshaping patient care, across various dimensions, from facilitating faster discharge to curating treatment plans and suggesting lifestyle changes.
CMS: 4.6M Choose ACA Marketplace Coverage
Of those who have chosen ACA Marketplace coverage so far in the 2024 Open Enrollment Period, 20% are new consumers and 80% are returning consumers, according to CMS.
Marketplace Premiums Could Increase by 6% in 2024, Report Shows
ACA Marketplace insurers are proposing an average 6% premium hike for 2024, with inflation being a driving factor, according to an analysis by KFF.
Biden Administration Introduces Plan To Expand Medicaid, ACA Coverage to DACA Recipients
By the end of the month, the Department of Health and Human Services (HHS) is expected to release a proposed rule that would allow DACA recipients to apply for healthcare coverage through the Health Insurance Marketplace or through their state Medicaid organization.
Record-breaking 16.3M People Choose ACA Marketplace Health Plans
This year’s ACA Marketplace enrollment represents a 13% increase, or 1.8 million people, from last year, according to CMS. There were more than 12.7 million returning consumers and more than 3.6 million new consumers.
Improving the Healthcare Financial Experience to Help Care Flow
Zelis CEO Amanda Eisel shares her perspective on how the company is solving the problems of a fragmented health financial system to benefit all.
CMS: ACA Marketplace Enrollment Reaches 11.5M
About 11.5 million people have selected a health plan through the ACA Marketplace as of December 15. This is 1.8 million people more than the same period last year, representing an 18% increase, CMS said.
CMS Releases Proposed Rule to Advance ACA Coverage in 2024
CMS hopes the changes will increase healthcare access for underserved populations, streamline the plan selection process and simplify enrolling in Marketplace coverage.
CMS: 3.4M People Have Enrolled in ACA Marketplace Health Plans
This represents a 17% increase in total ACA plan selections — both through HealthCare.gov and state-based Marketplaces — compared with last year, CMS said. Enrollment through the federal HealthCare.gov has especially seen a rise of 40% from the same period last year.
HHS: ACA Marketplace enrollment grew among minority populations in 2022
Latino and Black communities saw the largest increase in Marketplace enrollment. HHS credited the rise partially to improved outreach and education efforts.
Using Data to Help Healthcare Practices Succeed
A new report from Relatient, A Data-Driven Guide to Patient Access Succes, highlights how focusing on data accuracy and relevance can enhance the performance of healthcare practices.
For insurers, rising unemployment a more pressing concern than Covid-19 costs
As insurers set premium rates for next year, many are working through the complicated math of how much Covid-19 will actually cost. It’s too early to say at this point, but these companies face another concern: how many Americans will lose their insurance if unemployment rates continue to rise?