Gregory A. Freeman is a contributing writer.
The end of cost sharing reductions has insurers trying to raise premiums even higher than planned. Those high premiums and other changes to the Affordable Care Act may drive consumers away from the exchanges.
The health plan's bold goal is to improve customer health 20% by 2020. Humana's strategy includes helping community make better use of existing resources.
Small employers are facing formidable hurdles as they consider self-funding health insurance plans. But self-funding still holds appeal.
A California physician network is reducing utilization by providing special attention to patients most at risk for readmission after hospitalization.
A healthcare reform proposal from two governors could improve the Affordable Care Act, but it won't cure what ails the insurance market. It might, however, be the best option for now.
The loss of cost sharing reductions could force health plans to raise premiums so much that silver plan customers opt instead for bronze.
Congress is likely to pursue tax reform in the coming session. In the meantime, health plans are focusing on employer and consumer education.
The insurer no longer allows outpatient imaging in hospitals. Hospitals may feel the financial loss.
Value-based reimbursement is now less of a focus for Medicare and Medicaid, but health plans will continue to carry the torch. The impact of their efforts may be diminished, however.
Health plans are likely to raise premiums if cost-sharing reduction subsidies are halted. That would hurt many consumers, but some could actually benefit.