Complimentary from the publisher

Complimentary from the publishers of Health Insurance Marketplace News September, 2016

Trends in Provider Sponsored Health Plans, co-sponsored by Health Plan Alliance

“This [Aetna, UnitedHealth and Humana's withdrawals from various states' public Exchanges] will be generally good for the public Exchanges in the medium-to-long term because it will (a) likely lead to more adequate pricing, (b) bring attention to structural shortcomings of the ACA’s individual model, (c) promote dialog about modifications that can improve performance and (d) give more room for new entrants of all kinds. There might be short-term negatives, but the future viability of the public Exchanges is in question, so I’d prefer to look at a longer window than, say, the next couple of enrollment periods.”
- Simeon Schindelman, CEO, Brighton Health Plan Services.

"PMPM (per member per month) costs, calculated based on latest budget information, for the state-based Exchanges are as follows: California ($18), Colorado ($25), Connecticut ($56), District of Columbia ($123), Idaho ($20), Maryland ($40), Massachusetts ($33), Minnesota ($57), New York ($18), Rhode Island ($27), Vermont ($85) and Washington ($24).”

Excerpted from: Health Insurance Marketplace News, Volume 4, Issue 18, September Second Edition 2016, "Five Questions Boards Should Ask About Health Insurance Exchange Sustainability."

Skyrocketing Obamacare premiums still lower than employer-sponsored insurance
The Washington Post, September 19, 2016

How the ACA’s Expansions Have Affected Out-of-Pocket Cost-Sharing and Spending
The Commonwealth Fund, September 12, 2016

Encumbered exchange
The Economist, September 10, 2016

ACA: Results of Undercover Enrollment Testing for the 2016 Coverage Year
United States Government Accountability Office, GAO-16-74, September 2016

ACA: Final Results of Undercover Testing of Marketplaces for Coverage Year 2015
United States Government Accountability Office, GAO-16-792, September 2016

Proving legal status slows immigrants' ability to get, keep health coverage
USA Today, September 8, 2016

‘Simple Choice Plans’ To Debut In 2017 Marketplace
Kaiser Health News, September 2, 2016

2017 exchange market: Emerging plan type trends
McKinsey & Company/McKinsey on Healthcare, August 24, 2016

This Month in Health Insurance Marketplace News

Five Questions Boards Should Ask About Health Insurance Exchange Sustainability
Thought Leaders' Corner: "What are the implications of Aetna pulling out of all but four states’ public Exchanges, in addition to the UnitedHealth and Humana withdrawals?"

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