Businesses not ready for employer mandate: Health care remains top employer concern

Health care costs continue to bedevil managers of small-to-mid-sized businesses. But talent acquisition is quickly catching up to health insurance as a limiting factor in their growth, and the competition from U.S. and foreign firms is heating up. These are some of the high-level findings of a comprehensive study produced by Lucas Group, a national … Read more

States go to great lengths to skirt EHB mandate

The 10 essential health benefits as defined by the Patient Protection and Affordable Care Act were viewed by the Obama administration as, well, essential. But the controversial list included coverage of many procedures and treatments that had formerly been only partially covered or not covered at all. In addition to objections raised by some based … Read more

Early 2014 claims look ugly

Health Net Inc. says individual claim costs are about twice as high as they used to be. Health Net gives an early look at the effects of the Patient Protection and Affordable Care Act (PPACA) on individual major medical experience in a document filed with the California Department of Insurance. PPACA now requires health insurers … Read more

Insurers vying for Obamacare business signal healthy exchange markets

More insurers will compete for consumers’ business on the exchanges during the second year of Obamacare enrollment. The number of insurers selling products on the state and federal exchanges will increase by at least 25% for 2015, the CMS announced Tuesday. There will be 77 additional health plans participating in the 44 states for which … Read more

PPACA tips: How to kill a health plan

A health insurer that wants to change its major medical product menu in 2015 will have to think hard about where the enrollees go next. Jackie Garner, the new acting director at the Center for Consumer Information & Insurance Oversight (CCIIO), talks about the rules governing major medical product menu changes in a bulletin aimed at … Read more

PPACA preventive services not so free

The U.S. Department of Health and Human Services (HHS) made the Patient Protection and Affordable Care Act (PPACA) basic preventive services package famous by putting a controversial mandate — for “free” birth control benefits — in the package.  Consumer groups say patients are having trouble using the other, less controversial benefits in the package, such as access to … Read more

Are we heading toward a single-payer system?

The Finns do it. The Germans do it. Even the Portuguese and Greeks do it. Across most of the developed world, single-payer, universally available health care is the norm. Legislators briefly considered single-payer coverage in the United States during the health care debates, but ultimately settled on the hybrid public/private solution that is the Patient … Read more

HealthCare.Gov Better But Tech Glitches Still a Concern

Year two of Obamacare “won’t be perfect,” a top Obama administration official said as the government’s website to sell health insurance plans continues to be developed. Andy Slavitt, the principal deputy administrator of the Centers for Medicare and Medicaid Services, would not promise that the site, healthcare.gov, will be “fully ready” in November, when people … Read more

Millions of Medicaid enrollments still unprocessed

Nearly 3 million Medicaid enrollments under Obamacare still haven’t been processed, a new report says. That’s mostly due to technical or bureaucratic snags — as well as a surge in applications — according to the analysis by Roll Call. Problems remain from the botched fall rollout of HealthCare.gov, and leave millions of vulnerable low-income Americans without … Read more

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