Closing doors & risk corridors—Health Republic CEO on Oregon’s individual market

http://stateofreform.com/news/industry/exchanges/2015/10/closing-doors-risk-corridors-health-republic-ceo-on-oregons-individual-market/

State of Reform

Top Five Industry Challenges of 2015

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/top-five-industry-challenges-2015

What to watch and what’s being done about them

Feds, states turning to predictive analytics to prevent fraud

http://www.fiercehealthpayer.com/antifraud/story/feds-states-turning-predictive-analytics-prevent-fraud/2015-10-19?utm_medium=nl&utm_source=internal

Cystall Ball

OIG: Data helps federal authorities keep pace with evolving fraud schemes

Charity care, financial assistance standards in hospitals unfair to patients, professor says

http://www.healthcarefinancenews.com/news/charity-care-financial-assistance-standards-hospitals-unfair-patients-professor-says?mkt_tok=3RkMMJWWfF9wsRouua%2FNZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4JRMRrI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

A study of 140 hospitals showed eligibility cutoffs ranging from an income of 100 percent of the federal poverty level to 600 percent.

The Future Of Premium Assistance Through Waivers Under The Affordable Care Act

http://healthaffairs.org/blog/2015/08/26/the-future-of-premium-assistance-through-waivers-under-the-affordable-care-act/

Blog_Ruff

Premium assistance is the use of public funding for the purchase of commercial health insurance. Historically, premium assistance has mostly enabled a small number of Medicaid and Children’s Health Insurance Program (CHIP) recipients to enroll in health insurance through their employers by having the government pay all of the costs of coverage, except for some cases where the family contributes a small premium.

Ten states participating in Medicaid incentive programs

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/ten-states-participating-medicaid-incentive-programs