Health insurance start-up Oscar Health in June 2018 announced it would sell Affordable Care Act (“Obamacare”) health insurance policies in six new markets as of 2019, adding three U.S. states – Florida, Arizona, and Michigan as well as three large metropolitan areas in Ohio, Tennessee, and Texas. Oscar offers individual products as well as a small group health plan targeted at small businesses of up to 100 employees, “Oscar

Earnings rose in 2016 for the U.S. health insurance industry, with net income for those companies filing a health annual statement rising by 46% to $13.1 billion compared with $9.0 billion in 2015. This, according to an A.M. Best special report titled, U.S. Health Insurance Industry Earnings Up in 2016.  The report notes that net income was supported by a second year of improving underwriting income, which is owed

In a letter addressed to leaders in the United States’ House of Representatives and shared with all House and Senate members, the American Academy of Actuaries’ Individual and Small Group Markets Committee and Medicaid Subcommittee in April 2017 provided an actuarial perspective on the American Health Care Act (AHCA). The analysis examines the effects on enrollment and on the risk pool of the AHCA’s replacement of the individual mandate

The plan to repeal and replace “Obamacare,” more formally known as the Affordable Care Act (ACA), which was put in place by President Barack Obama, experienced a rough week in late March 2017, as more Republican leaders sided with Democrats who are feeling reticent about passing the controversial American Health Care Act (AHCA). The defections come after Congressional Budget Office (CBO) reports that the bill would result in higher

Remarks by President Trump in Listening Session with Health Insurance Company CEOs Source: The White House, Office of the Press Secretary February 27, 2017 THE PRESIDENT:  You are the big ones.  You are the biggest of the big, right?  (Laughter.)  That’s very impressive.  Thank you for being here.  We just had a great meeting with the governors on the horrible effects that Obamacare is having.  We’re going to change

It is hardly unusual for Cabinet nominees to leave more questions than answers after their confirmation hearings. Yet for the millions whose lives hang in the balance depending on the future of the Affordable Care Act, Rep. Tom Price’s (R-Ga.) answers were surprisingly vague on January 18, 2017 – especially coming from a man who has authored a detailed, 242-page replacement for the ACA, more commonly called Obamacare.

Connecture, an IT company that provides web-based solutions to the health insurance industry, in June 2016 acquired its Chicago-based competitor ConnectedHealth, a benefits technology company that offers an e-commerce platform that helps businesses control costs and ease the process of shopping for personalized insurance benefits online. ConnectedHealth is a private company and was founded in 2009. Based in Brookfield, Wisconsin, Connecture is a provider of a web-based consumer shopping,

Just when U.S. employers were getting the hang of program rules under the Affordable Care Act (ACA) and HIPAA, the Equal Employment Opportunity Commission (EEOC) in May 2016 has added new regulations on to workplace wellness programs. These regulations, issued under the Americans with Disabilities Act (ADA) and the Genetic Information Nondiscrimination Act (GINA), are additional to the requirements already necessary for compliance with ACA/HIPAA wellness programs. These rules

Payroll software and services provider ADP and the GoHealth Insurance platform that offers subsidized health insurance plans under the Affordable Care Act, have together launched a private health exchange that enables employers to assist both full-time employees and the contingent workforce, i.e. part-time, temporary and contract workers ineligible for employer-sponsored coverage, in selecting health plans. Apparently in an effort to leverage up-to-date, detailed employee data from its clients’ payrolls,