Bruce Shutan

Hospital consolidation is driving up public exchange bills in mostly urban areas and could jeopardize quality of care.

Health insurance carriers have not poached healthier customers from the exchanges for plans sold outside the exchanges, which some feared would lead to adverse selection in the public exchange market, concludes a recent issue brief.

New workplace programs are helping companies reduce the stigma associated with mental health.

A potential plan to pool the health care purchasing power of Detroit’s Big Three automakers in the form of a CO-OP or similar entity sounds intriguing to industry insiders, but they also caution that it wouldn’t be an easy road.

Greg Giangrande, executive vice president, chief human resources officer for Time Inc., is the recipient of EBN’s 2015 Benefits Leadership in Health Care Award.

Employers looking to attract top talent are using social media to make the employer brand the focus of their recruiting efforts.

Covered California recently announced $10 million in new grants for the upcoming exchange open-enrollment season awarded to 68 “navigator” groups, including about 12,000 certified insurance agents who played a pivotal part in enrolling 43% of state residents for 2015.

Proposed rate increases for 2016 health insurance coverage that a dozen carriers will sell on Covered California’s state-run exchange will be just 4% compared to the 4.2% rise approved for 2015.

Public exchange plan participants spent less money on medications in the first quarter of 2015 than the first quarter of 2014 amid changes in the demographic mix of enrollees, according to newly released data from Express Scripts Holding Company.

Connecticut’s AccessHealthCT is poised to become the nation’s first state-run marketplace that will be financially self-sustaining in 2016 when federal grants end for these online marketplaces as stipulated under the Affordable Care Act.

While Montana has one of the nation’s lowest head counts, it ranked a close second behind New Hampshire in terms of the highest rate of 2015 public exchange re-enrollment among 34 states that direct their residents to Healthcare.gov.

Next-generation total compensation statements meet employees’ demands for real-time benefits information and can offer employers a powerful recruiting tool.

As pressure mounts on state-run public health insurance exchanges to be financially self-sufficient in time for 2016, consumer operated and oriented plans created under the Affordable Care Act face the same challenge. And with two recent troubling developments in the CO-OP space, there are renewed questions about the long-term viability of these nonprofit entities.

Narrow networks are more prevalent in public exchanges than the commercial market, and while this trend helps keep costs more manageable, it also significantly restricts any movement for consumers and could undermine network adequacy standards.

After more than 50 votes in Congress and two attempts before the U.S. Supreme Court to mothball the ACA and public exchange marketplace, some Republicans now see the budget reconciliation process as yet another avenue for achieving this long-time goal.

Two Urban Institute reports funded by the Robert Wood Johnson Foundation found that 9.4 million fewer families struggled to pay medical bills in early 2015 than just before the rollout of public exchanges and Medicaid expansion in 2013.

The $34.1 billion blockbuster deal between Aetna Inc. and Humana Inc. is seen as complementary to both health insurers in terms of helping grow their involvement in private and public health insurance exchanges.

Pent-up demand for various medical services has been identified among newer public exchange enrollees who deferred or avoided treatment because of financial constraints resulting from a lack of health insurance, notes the first in a series of research papers on so called preference-sensitive services.

Narrow-network restrictions help health insurance carriers participating in public exchanges limit their exposure to adverse selection and better manage the cost of patient care, but they’re also an annoyance for health care exchange enrollees who want unencumbered access to doctors and hospitals.

Doctors think insurance cards in Texas that identify HIX enrollees could serve as a reminder to pay their monthly premiums and reduce the number of unpaid bills. Critics, however, counter that they are akin to a Scarlet letter and could be used to deny treatment.