Bruce Shutan

Plan fully integrates behavioral health with primary care for more meaningful results.

Several state-run public exchanges got a shot in the arm from the Centers for Medicare & Medicaid Services, which awarded $187 million in grants to help develop their respective operational visions before federal funding runs out.

John R. Graham, a senior fellow of the National Center for Policy Analysis, recently lauded the elimination of taxpayers’ liability for risk corridors made available to health insurers participating in the public exchanges.

More than a year after technical glitches on Healthcare.gov emboldened Affordable Care Act critics and fueled late-night talk show jokes, the U.S. Department of Health and Human Services has since forged partnerships with four digital platforms to help promote the current open-enrollment period.

UnitedHealth Group Inc. is poised for HIX-related growth in 2015 on the heels of solid third-quarter revenue.

Oregon officials are pledging to avoid 2014’s enrollment nightmare, which prevented the state-run HIX from fully launching online and led to the departure of six top officials connected to the exchange.

The HIX market has undergone a facelift over the past year in some states where hopes are running high that a 2.0 reboot will be just what the doctor ordered.

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.

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.

Delaying health plan renewals appears to be the new normal under the Affordable Care Act, especially for small businesses.

When evaluating the merits of a private exchange, one industry insider suggests pursuing an overall financial strategy built around achieving “true savings” rather than simply shifting costs onto employees – a warning that has been sounded for years in the traditional marketplace.

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. …

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.

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.

Comparing prescription drug benefits offered on the Covered California state-run exchange is expected to be easier during the 2015 open enrollment than it was in 2014, thanks to the availability of more information.

Comparing prescription drug benefits offered on the Covered California state-run exchange is expected to be easier during the 2015 open enrollment.

The HIX marketplace may offer Americans more choice when it comes to health insurance, particularly as public exchange options expand, but it continues to complicate life for HR professionals.

One of the nation’s premier business groups whose mission is employee health promotion is embroiled in a controversy involving $184 million in contracts awarded by Covered California without competitive bidding.

While pharmacy benefits utilization was roughly the same during the first half of 2014 for individuals enrolled in public health insurance exchanges and traditional insurance market plans, a new analysis shows the utilization of specialty drugs is much higher in the HIX marketplace.

On the heels of news about Aon Hewitt’s estimated more than 1.2 million HIX enrollees exceeding its expectations for 2015, Bright Choices Exchange operator Liazon is crowing about its own expansion plans.