PayerInsurers to Pay $1.1B in Medical Loss Ratio Rebates in 2023
The pandemic continues to effect rebates, even if this year's figure pales in comparison to 2020 and 2021.
PayerThe Shadowy Financial Empire Built Around Liberty HealthShare Is Showing Signs of Strain
Beers family members built a 'conglomerate' by selling a Christian alternative to traditional health insurance. They're now scrambling for cash,...
PayerSome Employers Unsure if They Will Cover Preventive Care
Employers may follow a ruling by a federal judge that struck down preventive care services in the Affordable Care Act...
PayerACA Benchmark Premium Influenced by Payer Competition
A report examines changes in marketplace premiums and insurer participation between 2022 and 2023.
PayerProviders and Insurers React to 'Deeply Flawed' ACA Ruling on Preventive Care
The new ruling applies to task force recommendations issued on or after the Affordable Care Act (ACA) was signed into...
PayerPatients Likely to Skip Preventive Care if ACA Ruling Holds
A survey finds many will not pay for preventive services if they are no longer covered by health insurers.
PayerMedicaid Health Plans Try to Protect Members — and Profits — During Unwinding
With states poised to start disenrolling Medicaid enrollees in April who no longer qualify, insurers hope to keep those still...
PayerNearly 17% of In-Network Claims Were Denied by ACA Marketplace Plans in 2021
Research finds lack of prior authorization as one of the foremost reasons for denials by non-group qualified health plans (QHPSs).
PayerAs Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
States face steep challenges: making sure they don't disenroll people who are still entitled to Medicaid and connecting the rest...
PayerNumbers Don't Lie. Biden Kept His Promise on Improving Obamacare.
Observers offer 'an unequivocal yes,' to the question of whether Biden has met his campaign promise.
PayerACA Marketplace Enrollment Surpasses 2021 by 1.8M
The Inflation Reduction Act has played a role in making health insurance on the Marketplace more affordable.
PayerRecord-Breaking Enrollment Continues in 2023 ACA Marketplace
With 5.5 million sign-ups so far, this year's numbers are already outpacing 2022.