Exchanges

Insurer will reevaluate its approach to the Affordable Care Act after suffering significant losses under the U.S. program and will pull out of Dallas and New Jersey markets next year.

Importing provider networks, increasing deductibles and cost sharing are just a few proposed ways to make private benefit exchanges more efficient.

Factors such as a desire to maintain control and cost concerns have PBEs slow to gain traction, according to the Pacific Business Group on Health.

The insurer warned the government in a July letter that it would be financially forced to step back its participation in the individual insurance exchanges if the DOJ tried to block its $28 billion purchase of Humana. Guess what happened, writes Max Nisen.

Later this year, residents of Pinal County, Ariz., who go shopping for health insurance under the ACA will face a peculiar dilemma — they’ll have to buy a product that may not exist.

Aetna will stop selling individual ACA plans next year in 11 of the 15 states where it had been participating in the program, joining other major insurers that have pulled out of the government-run markets in the face of mounting losses.

Who is worth watching in the technology arena? We present the boundary-breakers you need to keep on your radar.

Broker-friendly changes and ‘more open dialogue’ with CMS have led to multiple favorable changes for the community.

The definition of the platform may be a reason why few large employers have moved thus far, panel says.

Sima Reid, owner of twentytwenty Insurance, built a benefit platform to meet the unique needs of her client base and attract new business.