Payer Issues

As HMOs Dominate, Alternatives Become More Expensive

KHN — Consumers seeking health policies with the most freedom in choosing doctors and hospitals are finding far fewer of those plans offered on the insurance marketplaces next year. And the premiums are rising faster than for other types of coverage.

by , and | Published 2 years ago
By and On Tuesday, October 27th, 2015

Emergency Physicians: High-deductible Plans Delay Care

Seventy percent of emergency physicians say they routinely see insured patients in the emergency department who’ve delayed care because they can’t afford high deductibles and copays, according to survey results from the American College of Emergency Physicians. In addition, 73% of emergency physicians say they’re seeing increased numbers of Medicaid patients who’ve delayed care because they can’t […]

By On Tuesday, August 25th, 2015

Hospitals Increasingly Embrace Medicare Bundled Payments

New data from Avalere Health shows 9 percent of acute care hospitals are engaging in the program, despite financial risks. Elsewhere, hospitals are also not blaming the health law for some industry woes, CMS readies new alternative payment methods for some providers and Medicare fraud outside the United States becomes more prevalent.

By and On Sunday, May 24th, 2015

When Paying The Obamacare Penalty Is Cheaper Than Buying Insurance

Miami Herald — For consumers, unable to cover the costs of Obamacare health insurance, the only option they have is pay the fee for not being insured and hope they don’t get sick. For those unable to afford the cost of coverage is paying a penalty of several hundred dollars for remaining uninsured was much […]

By and On Sunday, April 19th, 2015

Humana posts $430M profit in Q1 2015

Louisville, Ky.-based Humana today reported net income of $430 million for the first quarter of fiscal year 2015, up $62 million from the comparable period of 2014. Health insurer Humana’s total revenue was up 18.1 percent in Q1 2015, rising to $13.83 billion.

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