Marketplace Issues/Stability
The Centers for Medicare & Medicaid Services today finalized the Notice of Benefit and Payment Parameters for 2020, setting the standards for health insurance issuers and the Health Insurance Marketplaces next year.
AHA applauds the Committee on Energy and Commerce for considering legislation to lower prescription drug costs and strengthen the Affordable Care Act marketplaces to improve access and lower the cost of coverage for consumers.
For-profit insurers are more likely than not-for-profit insurers to exercise market power when they have it, according to a new study by Harvard Business School professor Leemore Dafney.
Long-standing players in the health care market, along with a growing number of new market entrants – including tech behemoths and aggressive startups – have driven a flurry of activity in the health care space in 2018. And the pace of this activity has only increased in the last six months of the…
Atrium Health (formerly Carolinas HealthCare System) today agreed to settle, without financial penalty or admission of wrongdoing, a 2016 Department of Justice lawsuit alleging the health system used its market power to restrict health insurers from encouraging consumers to choose providers that…
The Department of Justice’s Antitrust Division today announced a settlement that would allow CVS Health and Aetna to proceed with their proposed merger if Aetna divests its Medicare Part D prescription drug plans to WellCare.
The federal government violated a statutory obligation created by Congress in the Affordable Care Act when it failed to provide Montana Health, an issuer of qualified health plans on the Montana and Idaho health insurance exchanges, its full cost-sharing reduction payments for 2017, a federal judge…
The departments of Health and Human Services and the Treasury yesterday approved a Section 1332 waiver for New Jersey to implement a five-year reinsurance program for its individual health insurance market beginning in 2019.
AHA, health organizations letter to CMS regarding its decision to suspend billions of dollars in annual payments to insurers as required under the Affordable Care Act’s risk-adjustment program.
Markets that are less consolidated or less aligned vertically tend to have higher costs, while markets with well-organized provider networks tend to have lower costs, according to a new study.