Katherine Moody

Articles by Katherine Moody

CMS approves $6.2B waiver for California Medicaid expansion

California has officially gotten the green light on its waiver to transform and expand its Medicaid program, known as Medi-Cal.

IRS extends ACA information reporting deadline

The IRS has announced that it will extend the Affordable Care Act information reporting deadline.

Faith-based coverage could threaten ACA stability

The trend of Americans turning to health ministries instead of insurance providers may put stress on the Affordable Care Act's stability, according to an article from the Wall Street Journal.

 

5 health insurance stories that defined 2015

The year 2015 was undoubtedly one of seismic change for the health insurance industry, with no shortage of game-changing headlines and issues. FierceHealthPayer takes a look back at a few of the biggest stories from the past year.

 

Precision medicine faces hurdles from reluctant payers

​Despite the recent enthusiasm surrounding precision medicine, Medicare and private insurers have not always been very enthusiastic about the concept, as they believe that genetic tests could lead to more expenses or care that won't improve patient outcomes, according to an article from STAT.

 

Annual colonoscopy rates increase among men when out-of-pocket costs decrease

New research indicates that cost may be an important barrier to colorectal cancer screenings, at least among men, and that changing policies to close the remaining loopholes that would reduce the expected out-of-pocket expenses for all Medicare beneficiaries may improve screening rates. 

Report blames poor oversight for New York CO-OP's demise

Of the 23 consumer operated and oriented plans launched under the Affordable Care Act, 12 will officially be closed Jan. 1. A new report examines the collapse of the largest CO-OP, blaming a breakdown in state oversight of the health insurance industry for its demise.

 

Marilyn Tavenner's holiday wish list for healthcare systems

America's Health Insurance Plans President and CEO Marilyn Tavenner has a healthcare holiday wish list, and that list includes ensuring hospitals and physicians have the support needed to better coordinate care, increased information sharing and support systems, and consumer empowerment.

Analysis: Cost-sharing stays stable in ACA marketplace plans

For the most part, cost-sharing did not increase for those covered under Affordable Care Act marketplace plans in 2015, though for those without cost-sharing reductions, average copayments, deductibles and out-of-pocket limits were considerably higher than the average employer-based plan, according to a new analysis from The Commonwealth Fund.

 

HIV hospitalizations decreased in Medicaid expansion states

A new study from Health Affairs examines the influence of the Affordable Care Act's optional state Medicaid expansion on insurance coverage and health outcomes for hospitalized patients with HIV.