health insurance exchanges

HIEs = Mass Confusion

November 18, 2013
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The roll-out of the Affordable Care Act has been, to say the least, bumpy for consumers, but it is also proving to be a major headache for physicians and by extension, hospitals. “More than a month after HealthCare.gov and 15 state-based exchanges opened for business, consumers and even physicians are finding it isn’t easy or […]

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One Major Administrative Hassle Many Hospitals Will Have to Deal with Thanks to HIEs

October 4, 2013
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With the health insurance exchanges finally going live this week, some of the kinks in the system have been exposed, but the fundamental principle of the HIE remains in place: creating a marketplace in which people can shop for the best and most affordable insurance plan for them. Sounds good. Sound great. But what about […]

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Healthcare Executives: The Federal Government Needs Your Help…Again

October 1, 2013
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Now that the health insurance exchanges are open for business, the issue has become enrollment and how to encourage and assist people in signing up for an insurance plan. To provide this kind of muscle, the federal government is turning to community and rural hospitals for assistance, John Commins at HealthLeaders Media reports, and on […]

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Response: HHS Skewing Report to Paint Rosy Picture about HIEs

September 26, 2013
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Yesterday, we wrote about the report from HHS that highlighted the benefits of the new health insurance exchanges and how consumers will be facing lower premiums under healthcare reform. It was a rather optimistic picture in a debate that has been fraught with many dire predictions of economic and Constitutional disaster because of the Affordable […]

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Report: HHS Expects Premiums under HIEs to be Lower than Expected

September 25, 2013
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The HHS report released today contains some positive indicators for health insurance exchanges and their impact on premiums among the 36 states where the federal government is involved, Harris Meyer at Modern Healthcare reports. At first glance, it seems “that premiums will be significantly lower than expected in 2014.” Furthermore, consumers will be able to […]

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CMS Reveals 10 Things Providers Need to Know about HIEs

September 4, 2013
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In preparation for the Oct. 1, 2013, launch of enrollment for the Health Insurance Exchanges, CMS has released a handy breakdown of what it thinks healthcare providers need to know about the Health Insurance Marketplace. First, providers should understand where this Marketplace exists: online. According to CMS, the goal is to make this online Marketplace […]

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Healthcare Reform Could Lower Insurance Costs for Rural Consumers

August 26, 2013
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As we continue to assess the Affordable Care Act’s impact on all facets of the healthcare industry, we turn now to the impact reform is having on rural care. According to Nebraska’s Center for Rural Affairs, health insurance and medical care could actually be cheaper for rural-based consumers, which would be an incredible reversal on […]

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Trend: Many Healthcare Systems are Becoming Provider-Payers

August 23, 2013
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Forecasting healthcare trends is a lot like predicting the weather: your odds of being right are largely dependent on the shifting winds. However, here’s a trend that seems to be as certain as the gathering storm clouds on the horizon: healthcare systems–in an effort to adjust to reform, health insurance exchanges, population health, cost and […]

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A Tale of Two Letters (Part 2 of 2): AMA Challenges CMS on Federal HIE Standards

April 4, 2013

Editor’s Note: In the second half of March, the Centers for Medicaid and Medicare Services received two letters from influential voices in healthcare directly challenging recently proposed or enacted measures. The first challenge from the American Hospital Association regarding a new patient-experience survey was discussed in our last post. The second challenge from the American […]

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HIEs Struggle to Catch On (Part 2)

February 18, 2013

On Friday, we looked at how a total of 32 states missed the Feb. 15 deadline to set up their own, state-run health-insurance exchanges (HIEs). Now that the deadline has past, the government must become intricately involved in state healthcare, essentially running the show as they set up exchanges in these 32 states (the only […]

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