Complimentary from the publisher

Complimentary from the publishers of Health Insurance Marketplace News June, 2015

"The increase in drug cost is occurring in two areas: 1) generic drugs and 2) specialty drugs/new pharmaceuticals (hepatitis C, especially affecting Medicaid plans). In response, insurers are taking two approaches: 1) establishing five-tier drug plans with preferred and non-preferred generic and 2) negotiating with government payers to increase drug reimbursement or negotiating with PBMs to reduce the cost of specialty/new drugs."
- Richard L. Trembowicz, Senior Manager Practice: Reimbursement, ECG Management Consultants

"Private Exchange enrollment is expected to accelerate in 2017 due to looming penalties for 'Cadillac' plans. That provision of the Affordable Care Act places a 40% excise tax on high-cost employer health plans beginning in 2018. Research estimates that 38% of large employers (those with more than 2,500 employees) and 17% of American businesses overall will face those penalties in 2018 if action is not taken prior."

Excerpted from: Health Insurance Marketplace News, Volume 3, Issue 6, June 2015, "Recent Reports Detail Additional Aspects of Exchange Operation"

3 states grappling with insurance exchange growing pains
Government Health IT, June 5, 2015

Growing Pains For State Obamacare Exchanges
Kaiser Health News, June 4, 2015

Pennsylvania prepares to establish state exchange if ACA overturned
Healthcare Finance News, June 4, 2015

King v. Burwell forecast: 3 experts on hospital, payer and state impact
Becker's Hospital Review, June 2, 2015

Four Words That Imperil Health Care Law Were All a Mistake, Writers Now Say
The New York Times, May 25, 2015

Colorado health insurance exchange proposes increasing staff size
The Denver Post, May 21, 2015

Amid slower growth, California's Obamacare exchange cuts proposed spending
The Los Angeles Times, May 13, 2015

Data Note: How Has the Individual Insurance Market Grown Under the Affordable Care Act?
Kaiser Family Foundation, May 12, 2015

This Month in Health Insurance Marketplace News

Surveys Examine Practical Aspects of ACA
Recent Reports Detail Additional Aspects of Exchange Operation
Thought Leaders' Corner: "How will significantly increasing pharmacy costs impact health plan offerings in public and private exchanges?
State Wrap-Up with briefs regarding Alabama, Arkansas and California.
Catching Up With... Carrie Banahan

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