Individual and Small Group Health Insurance Market Data for Health Plans, Hospital Accountable Care Organizations and Industry Analysts

An Overview of The Insurance Exchange

The insurance exchanges have been created as part of President Obama’s health care reform bill, to help American citizens obtain affordable healthcare. The Exchanges present state-regulated and standardized healthcare plans offered by insurance carriers allowing individuals to opt-in to individual health insurance that has met oversight rules imposed by the govt. The Insurance Exchanges are envisioned to fulfill the vision of providing consumer protection and oversight while making sure that hospitals remain cost-effective rather than abusing their privilege. While health insurance exchanges are a contentious issue, they have been put into action recently under the direction of Obama’s staff and other relevant agencies. Continue reading

How Can Health Insurance Exchanges be Beneficial?

In an effort to reform the existing healthcare problems that exist in the United States, President Obama, along with a number of democrat and some republican lawmakers, came together to create the Affordable Care Act. Although this act is being debated and contested by many opponents, there currently exist many new programs that allow for healthcare benefits. One of those programs is referred to as a health insurance exchange. While it is new, there are several ways that health insurance exchanges can be beneficial. Continue reading

ACOs – What is an Accountable Care Organization?

What is an Accountable Care Organization?

The debate about healthcare in the United States has been raging for many years. More recently it has gotten serious attention because of president Obama’s healthcare reform acts. Many of the provisions are points of contention, but many are necessary for a quality healthcare system that benefits American citizens. Important to this debate are the Accountable Care Organizations, which have garnered increasing interest with critics and proponents alike. Each Accountable Care Organization (or ACO for short) is within a network of heath care providers that maintain accountability for the care of Medicare patients enrolled in the program. Continue reading

Health Insurance Exchange – Carriers Face IT Systems Integration Problems

Health Insurance Exchanges are new markets created by initiatives as defined in US Health Care Reform. Two pieces of legislation are collectively referred to as the Affordable Care Act and outline Health Insurance Exchanges:

  1. March 23, 2010 – The Patient Protection and Affordable Care Act.
  2. March 30, 2010 – The Health Care and Education Reconciliation Act of 2010.

Section 1311 of the Affordable Care Act establishes Health Insurance Exchanges (Exchanges) and sets a milestone January 1, 2014 for the Exchanges to begin offering health care coverage. Continue reading

Health Insurance Exchanges Centerpiece To 2010 Affordable Care Act

Health Insurance Exchanges are the centerpiece of the private health insurance reforms of the 2010 Affordable Care Act. Through state-based Exchanges, federally-facilitated Exchanges, and Federal-State Partnership Exchanges, individuals and small employers may shop for, select, and enroll in private sector health plans known as Qualified Health Plans (QHPs). Exchanges are expected to create substantial new markets for private-sector health insurance carriers, with an estimated 27-30 million people gaining coverage through Exchanges by 2019. Continue reading

Accountable Care Organizations Need Competitive Data to Compete

Accountable Care Organizations

Oxlo Healthcare Insurance Solutions provides vital market intelligence for anyone contemplating an Accountable Care Organization, including Multi-provider Networks, Payer Collaborations, and Integrated Delivery Systems (IDS).

The customary distinction between Health Plan payers and the Health Care providers is changing. Providers are forming new risk taking relationships, including networks among competing providers, as well affiliations with Insurers. Growing networks of Hospitals across the country are unveiling plans to get into the health insurance business outright. The first target markets are direct employer contracting and small group insurance as small employers are struggling with the burden of rising premiums. Continue reading