Practice Management
In advance of formal approval of its merger with Aetna, Humana plans to stop participating in some state insurance exchanges constructed under the Affordable Care Act (ACA, or “Obamacare”). The company says its member base dropped 21% compared with the first quarter of 2015. That includes those who bought policies under the ACA exchanges, which many insurers say are hard on their bottom lines to begin with. UnitedHealth Group was the first major insurer to …
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No longer satisfied with revealing states in which it plans to stop offering insurance under the Affordable Care Act (ACA, or “Obamacare”) a few at a time, UnitedHealth Group has acknowledged it will drop out of all but a “handful” of states by the end of this year. Right now, it participates in exchanges in 34 states; the dawn of 2017 will see it offering health coverage in just 12, as now planned. The market …
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The growing ranks of older U.S. citizens and the Affordable Care Act (APA, or “Obamacare”) add up to a need for more and more physicians as time goes by, but a new study says the number of qualified physicians is not keeping pace. The research from the Association of American Medical Colleges (AAMC) points to shortages among specialties, in particular. The portion of the U.S. population over the age of 65 is expected to grow …
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An influx of newly insured patients is just one reason emergency room traffic continues to go up in the age of the Affordable Care Act (ACA, or “Obamacare”), according to new data from the Centers for Disease Control and Prevention. Lack of access to primary care providers in general is especially problematic among Medicaid patients; often, they find access to be untimely, at a median wait time of 2 weeks for an appointment—if a conveniently …
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Just a week after revealing it will no longer participate in Affordable Care Act plans in Arkansas and Georgia, UnitedHealth Group says it is bowing out of Michigan plans backed by the ACA (or “Obamacare”), as well. The company, which started warning that low profitability associated with ACA exchanges made doing business through them untenable months ago, will cease to carry such plans in the three states at the end of this year. Anyone currently …
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UnitedHealth Group has been saying for months that it may opt to not participate in insurance exchange programs set up under the Affordable Care Act (ACA, or “Obamacare”). Apparently it was no idle threat, as the biggest insurer in the country says it will not sell plans in Arkansas or Georgia next year. The company has said the ACA plans are not profitable enough to justify their participation. UnitedHealth and Aetna both saw losses on …
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A new report from Blue Cross Blue Shield reveals that its Affordable Care Act enrollees are sicker and more expensive than its other plan members, as a whole. In fact, they’re nearly twice as likely to be admitted to hospitals. One reason will come as no surprise to critics of the ACA, or “Obamacare:” People who were uninsured and less healthy in the first place have signed up in droves. The act requires participating insurers …
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More than half of visits to emergency rooms in California’s San Diego County hospitals between 2004 and 2014 were for complaints that were nonemergent, according to the county Health and Human Services Agency there. Overall volume swelled by 40% over that time, despite population growth of just 7% in the nation’s eighth largest city. The problem has gotten so bad that civic leaders staged a media blitz, imploring residents through newspapers and television news to …
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Six years after its inception, government forecasts concerning the cost of the Affordable Care Act (ACA, or “Obamacare”) continue to climb. Now the Congressional Budget Office (CBO) says the bill over the next decade will be approximately 11% higher than predicted just a year ago—that’s an extra $136 billion, for a total of $1.34 trillion over that time. The CBO chalks the greater cost up to higher-than-expected enrollment in the expanded Medicaid program established by …
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After months of legislative back-and-forth, and as we previewed here last month, the US House of Representatives has passed new legislation that essentially repeals the Affordable Care Act (ACA, or “Obamacare”). The Senate already voted to approve the bill, called the Restoring America’s Healthcare Freedom Reconciliation Act, after implementing changes to the original version. Proponents of the new bill—which President Obama has already promised to veto—say it would cut the federal deficit by $516 billion …
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