As the healthcare industry continues to evolve, the Center for Medicare and Medicaid Services (CMS) has proposed five changes for the Patient Protection and Affordable Care Act. The proposed changes are focused on: Risk Adjustment, Network Adequacy, Out-of-Pocket Maximums, Standardized…
Since their inception, narrow networks have been expanding due to consumers being increasingly willing to have reduced provider choices in exchange for lower premiums. Insurance companies are able to keep the premium lower by taking out high-cost employers. In addition,…
Year Two of the ACA Coverage Expansions: On-the-Ground Experiences from Five States As of Spring 2015, states had completed the second open enrollment period for the new Health Insurance Marketplaces established by the Affordable Care Act (ACA) and most of…