Bruce Shutan

Bruce Shutan

Contributing writer

Bruce Shutan is an Employee Benefit News contributing writer based in Portland, Oregon.

Multi-year contracts suggested for exchanges

Noting how insurers have few incentives to invest in wellness and disease management programs that could take up to three years to pay off, two researchers have suggested multi-year HIX options to promote healthier living and a more efficient health care system in the face of “unintended consequences” from the Affordable Care Act.

Polls show preference to fix, not repeal, ACA

Most folks would agree that if something isn’t broken, then there’s no need to fix it, but few believe that argument applies to the Affordable Care Act. A flurry of recent research suggests that Americans think the polarizing law deserves public patience, while other findings note that it’s still unpopular.

Enrollments costing brokers time, money

As if employee benefit brokers and advisers in California haven’t had enough uphill battles trying to preserve their standing along the changing HIX landscape, some of them also now have to worry about being paid for helping enroll more than 500,000 residents in the state-run public exchange. But at least one industry insider believes it’s much ado about nothing. …

Network focus could shift to branding, quality

Increased competition in the HIX marketplace is expected to pave the way for branded health options with strategic tiers or regional provider partnerships that offer a leg up on narrow networks, especially with 25 million Americans projected to sign up for exchange plans over the coming decade.

CO-OP growing pains seen in Iowa experiment

Consumer operated and oriented plans known as CO-OPs have given some commercial carriers a run for their money in parts of the HIX marketplace where there was little or no competition, but these entities, created under the Affordable Care Act, also have run into some of the same systemic obstacles that have dogged for-profit plans for years.

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