Large employers and their employees will pay more for health coverage in 2019, even as some companies dial back their use of high-deductible health plans to control spending.
Wisconsin and Maine scored federal approval to launch reinsurance pools via 1332 waivers. Thanks to the waivers, premiums in the state could drop and individual-market enrollment could increase due to lower coverage costs.
Alabama and Illinois are the first states to take advantage of new flexibility to define the essential health benefits that certain insurers must provide. Their approaches show how some seek to bolster their ACA markets while others weaken them.
Anthem's policy led to a big spike in coverage denials among ED patients in three states last year, according to a senator's report. But Anthem ended up reversing the majority of denied claims that patients appealed.
The Trump administration is halting billions of dollars of payments to insurers under the Affordable Care Act's risk-adjustment program, a move that further disrupts the insurance market and could lead to more premium increases next year.
Blue Cross and Blue Shield of Illinois blinked after healthcare providers and parents of autistic children complained about proposed cuts in reimbursement rates for coverage of in-home counseling.
New York-based Oscar is bringing its narrow-network exchange plans to Florida, Arizona and Michigan, as well as new metro areas in three states where it already offers insurance, including Ohio, Tennessee and Texas.
The North Carolina Farm Bureau is hoping to follow Tennessee and Iowa organizations in creating a cheaper health plan that eschews Affordable Care Act rules by varying the price of coverage based on a person's health status.
Some health insurers have said they don't expect many members to drop coverage once the individual mandate penalty is zeroed out. But they still may raise 2019 premiums because of effects on the ACA's risk-adjustment program.
The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.
America's Health Insurance Plans, an insurer trade association, is pushing for states to set up reinsurance programs and for Congress to kill the industry's loathed tax to help mitigate premium increases on the Obamacare exchanges in 2019.
As insurers begin to file 2019 rates, two trends are emerging: Rate hikes will be steep and vary widely across states and plans, as regulators use different strategies to stabilize individual markets and promote affordability and choice.