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Jun 22, 2017 4:00:00 PM

What’s the Value of Innovation? (Part 1 in a 2-part series)

The Affordable Care Act created the CMS Innovation Center to allow Medicare and Medicaid programs to test innovative payment and delivery models that improve patient care and lower healthcare costs.

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Topics: Affordable Care Act, ACO, ACA, APMs

Dec 3, 2015 11:00:00 AM

UnitedHealth Threatens Departure from ACA Exchanges

I’ve been thinking about the implications of UnitedHealth Group’s recent announcement to reduce its exposure on the healthcare exchanges.

The company’s CEO Stephen Hemsley said UnitedHealth had sustained heavy losses this year from policies on the exchanges, and as a result, will stop marketing efforts for 2016 plans and will cut commissions to brokers in efforts to limit the number of enrollees in exchange plans next year. He also indicated that the company is considering complete withdrawal from the marketplace in 2017.

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Topics: Healthcare, Insurance, Affordable Care Act

Jun 26, 2015 3:00:00 PM

3 Takeaways From Yesterday’s Supreme Court Ruling

As you know by now, the U.S. Supreme Court issued an opinion yesterday allowing subsidies in states using the federal healthcare exchange. In other words, the decision was a big win for the ACA. Details of the opinion in King v. Burwell are available from many sources, so I won’t rehash them here. I plan to discuss the effects of this ruling in greater detail in a later blog. Today, I would like to offer three brief observations from yesterday’s decision.

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Topics: Affordable Care Act