Tag Archives: Health Insurance
Don’t panic about House v. Burwell.
The Affordable Care Act obligates the federal government to reimburse health plans for cutting their low-income customers a break on their out-of-pocket payments. Whether or not there’s an appropriation for the cost-sharing reductions, that statutory obligation is enforceable in court—specifically, in the Court of Federal Claims.
Health plans that get stiffed can therefore sue the federal government for the cost-sharing reductions. Winning those cases should be easy: the plans will just have to show that they’re owed money under the ACA. And here’s the kicker: Congress has permanently appropriated the money to pay court judgments, even if it hasn’t appropriated money for the cost-sharing reductions.
The right question isn’t whether health plans will get paid. It’s when.
Op-Ed Will Obamacare end ‘job lock’?
Why venture capital firms are pouring money into health insurance
AJMC: Innovation to manage special populations
Cartoon – Insurance Companies
Skepticism grows as more healthcare providers launch insurance plans, narrow networks

Though healthcare systems can gain insurance know-how by partnering with or acquiring an insurer or third party administrator to handle claims, compliance and customer service, putting it all together can be challenging.
Cartoon – Health Insurance
Everybody’s Getting Smarter About Healthcare Value
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