Latest Headlines

Latest Headlines

BCBS study: Uptick in outpatient care cuts costs for payers, patients

A new report from Blue Cross Blue Shield reveals how much consumers and payers save when medical procedures shift from an inpatient to an outpatient setting.  

ACA's Basic Health Program gains traction in some states

In New York and Minnesota, a combined 475,000 low-income individuals have signed up for health plans that are even more affordable than subsidized marketplace coverage through the Affordable Care Act's Basic Health Program. Yet it may not be likely for other states to adopt the same program, according to an article from  Kaiser Health News.

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.  

ACA news roundup: Old lawsuits, new controversies

All eyes are on the Affordable Care Act as the healthcare reform law's fate continues to spark debates and lawsuits.  FierceHealthPayer   rounded up the top ACA stories from this week to discuss the legal issues, the controversies and the what-ifs.

'Underinsured' Americans latest healthcare reform controversy

A new healthcare reform debate may be on the horizon.  Democrats refer to the issue at hand as the nation's "underinsured" population.

Non-group enrollment spiked in 2015

Nearly 59 percent of eligible consumers enrolled in a marketplace plan in 2015,  a 48 percent jump from last year's open enrollment period, according to a recent analysis from the Kaiser Family Foundation.

High deductibles main reason Americans go without medical care

One in four adults with non-group healthcare coverage did not receive needed care because it cost too much,  according to a new report from nonprofit Families USA.

Report: Healthcare deductibles still too high

Nearly a quarter of all non-elderly Americans with private health insurance coverage lack the financial means to pay their deductibles, according to a recent  study from the Kaiser Family Foundation.

Report: Out-of-pocket costs too high

The trend toward greater consumer cost-sharing, through higher deductibles, copayments, and coinsurance, is prompting many Americans to skip preventive tests and seek care, while also leaving them with burdensome bills, according to a new report from The Commonwealth Fund.

Cost-sharing changes vary among exchange plans

Insurers have adjusted out-of-pocket costs for plans to be sold on health insurance exchanges in 2015. However, cost-sharing changes across the four metal categories have been inconsistent, according to a new survey from HealthPocket.