high-risk pools

Latest Headlines

Latest Headlines

Population health relies on provider collaboration, nurse coordinators, data sharing

Population health management is a vital part of an insurer's overarching goal to lower costs and improve quality care. At Horizon Blue Cross Blue Shield of New Jersey, population health means partnering with providers to offer valuable claims information to help them better manage patients with expensive chronic conditions. To learn more about how Horizon has successfully managed its population's health,  FierceHealthPayer  spoke with Steven Peskin, Horizon's senior medical director for clinical innovations.

High-risk pools aren't good option for expanding health coverage

Establishing new national high-risk pools like the pre-existing condition insurance plan under the Affordable Care Act isn't a good alternative to expanding ACA coverage. That's because insurance works best when payers can spread risk evenly across a large population, according to a new issue brief from the Commonwealth Fund.

90% of uninsured Americans won't face fines

Almost 90 percent of the 30 million uninsured Americans won't face a penalty due to an increase of exemptions in the healthcare reform law, which leaves insurers to worry about their risk pools, reports the  Wall Street Journal.

After three extensions, payers, patients say goodbye to high-risk pools

The Affordable Care Act's temporary insurance program for high-risk patients is finally ending as planned--after three extensions.

High-risk pool extension could complicate rate setting

Now that the U.S. Department of Health & Human Services has extended high-risk pools for an additional two months until March 31, insurers may find it challenging to calculate and set rates for the next open enrollment period.

States mull extending high-risk pools amid exchange problems

High-risk pools, once predicted to be extinct in the post-reform insurance market, might live to see some more days after all of the technical problems with the federal health insurance exchange.

48M people lack insurance, unaware of health law

Almost 25 percent of adults between 19 and 64 years old--or 48 million people--lacked health insurance last year, and almost 70 percent of those adults lacked health coverage for more than a year,

High-risk health insurance pools in the works, Sebelius says

The Obama administration began work on Friday to provide "immediate relief for potentially millions of Americans with pre-existing conditions, like diabetes or high-blood pressure, who have been shut