ACA risk adjustment payments are on the rise: CMS
(By Rylee Wilson for Becker’s Hospital Review) Total risk adjustment payments in individual and small group insurance plans increased in
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Affordable Care Act (ACA)
Medicare Advantage star ratings are failing to improve plan quality: Study
(By Jakob Emerson for Becker’s Hospital Review) The Medicare Advantage star rating system and its quality bonus payment program is
Read MoreKFF Survey Shows Complexity, Red Tape, Denials, Confusion Rivals Affordability as a Problem for Insured Consumers, With Some Saying It Caused Them to Go Without or Delay Care
(Contact Craig Palosky for the Kaiser Family Foundation published June 15, 2023) Most (58%) people with health insurance say they
Read MoreAt Least 1.7M Americans Use Health Sharing Arrangements, Despite Lack of Protections
(By Markian Hawryluk for KFF Health News) A new report has provided the first national count of Americans who rely
Read MoreFraudsters Are Duping Homeless People Into Signing Up for ACA Plans They Can’t Afford
(By Daniel Chang for KFF Health News) MIAMI — Mary Zhelyazkova was surprised when pharmacists at Florida’s largest safety net
Read MoreA Windfall in Health Insurance Rebates? It’s Not as Crazy as It Sounds
(By Julie Appleby for KFF Health News) Former Democratic Sen. Al Franken tweeted recently that Americans will receive “$1.1 B
Read MoreCBO: Uninsured rate to reach 10 percent by 2033
(By Rylee Wilson for Becker’s Hospital Review) More people will be uninsured in 2033 than in 2023 as Medicaid continuous
Read MoreDenials of Health Insurance Claims Are Rising — And Getting Weirder
(By Elisabeth Rosenthal for KFF Health News) Millions of Americans in the past few years have run into this experience:
Read MoreCommercial payers expect to pay $1.1B this year on member rebates
(By Jakob Emerson for Becker’s Hospital Review) Payers are expecting to issue a total of about $1.1 billion in medical
Read MoreFederal court blocks Texas ruling against ACA preventive care coverage
(By Jakob Emerson for Becker’s Hospital Review) The U.S. 5th Circuit Court of Appeals has temporarily blocked a Texas court’s
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