health reform


health reform

Little-known Health Care CO-OPs Starting to Emerge in Roll-Out of Health Reform

Monday, August 22nd, 2011 - 8:04
Monday, August 22, 2011 - 07:56
On July 18, the U.S. Department of Health and Human Services issued standards and regulations for establishing Consumer Oriented and Operated Plans, or “CO-OPs.” CO-OPs are private, non-profit health insurers with a board made up of those who sign up for the insurance.

What Money Will HHS Use to Set Up Backstop Exchanges In The States?

Wednesday, August 17th, 2011 - 8:04
Wednesday, August 17, 2011 - 07:53
An article in Politico discusses how the federal government is handing out hundreds of millions of dollars to states to assist them as they set up insurance exchanges, but that HHS doesn't have any specific money to use if it is forced to set up exchanges on its own.

HHS Gives New Grants, Proposes Rules, for Insurance Exchange Implementation

Monday, August 15th, 2011 - 7:48
Monday, August 15, 2011 - 07:43
On Friday, the Department of Health and Human Services awarded grants worth $185 million to 13 states and the District of Columbia to help with continuing implementation of health insurance exchanges.

Kansas Becomes Second States To Drop Out of "Early Innovator" Program

Thursday, August 11th, 2011 - 7:59
Thursday, August 11, 2011 - 07:44
Kansas has become the second state to return an "Early Innovator" grant from the federal government that was designed to enable a handful of states to become leaders in the development of insurance exchanges. Oklahome became the first state to do so earlier this year.

Reviewing, Blocking Rate Increases A Tough Task For States

Tuesday, August 9th, 2011 - 8:10
Tuesday, August 9, 2011 - 07:58
Kaiser Health News, in collaboration with The Washington Post, reports that states have a number of obstacles to overcome if the health reform law's attempts to limit the growth in insurance premiums are going to materialize. From inadequate laws, limited funds and strapped staffs, many states don't have the infrastructure they need to counteract exorbitant rate increases.

Exchange Boards Create Consternation for Some

Wednesday, August 3rd, 2011 - 7:56
Wednesday, August 3, 2011 - 07:44
As if setting up insurance exchanges hasn't been difficult enough for states, there are also thorny problems when it comes to who is going to sit on the governing boards overseeing them. As Politico reported earlier this week, consumer advocates are voicing concerns that health care industry reps -- brokers, agents, health plan executives -- will have too much representation on the health exchange governing boards.

Exchange Rules Provide Extensive Guidance But Unresolved Challenges Remain

Monday, August 1st, 2011 - 7:42
Monday, August 1, 2011 - 07:37
New regulations issued by the US Department of Health and Human Services in July establish federal standards for states creating Health Insurance Exchanges and also stipulate standards that health insurers must meet to participate in the Exchanges (42 CFR Part 155 and 42 CFR Part 156, respectively).  

Report: Demand for Primary Care Will Grow the Most in Rural Areas Under Health Reform

Thursday, July 28th, 2011 - 7:50
Thursday, July 28, 2011 - 07:37
Thanks to the health reform law, about 5 million more rural Americans will have coverage by 2019, according to a report by the research arm of UnitedHealth Group. This 16 percent increase will put more stress on rural primary health care providers, who are already spread thin. Urban areas are expected to see a 13.5 increase in the number of insured.

"Hybrid Approach" on Running Insurance Exchanges May Lessen Deadline Pressures

Monday, July 25th, 2011 - 8:06
Monday, July 25, 2011 - 08:01
Last week, the Obama administration official in charge of overseeing the implementation of insurance exchanges in the states acknowledged a concern that is becoming more prominent: that states won’t meet the 2014 deadline set in the health reform law.

Can the Federal Government Run a Seamless State Health Exchange -- and in Multiple States?

Thursday, July 21st, 2011 - 7:35
Thursday, July 21, 2011 - 07:30
A recent story from Politico raises an intriguing question about health care exchanges: Will the federal government have the authority to run them adequately in states that can’t/choose not to run them on their own?