Cost and Quality

Latest California Healthline Stories

As Medicaid Costs Soar, States Try A New Approach

New programs, known as ACOs, reward hospitals and physician groups that hold down costs by keeping enrollees healthy. The health care providers are asked to address social issues — such as homelessness, lack of transportation and poor nutrition — that can cause and exacerbate health problems.

Calif. Exchange Chief Sees No Rate Impact From Latest Trump Challenge To ACA

Peter Lee says the court challenge will take time and California will have a chance to pass its own protections in the interim. However, the decision by Congress to eliminate the tax penalty on people who choose not to buy insurance will weigh on 2019 premiums, Lee said. Recent projections by the exchange show an average 11 percent rate hike in 2019, along with a 12 percent drop in enrollment.

HHS To Allow Insurers’ Workaround On 2019 Prices

Many states instituted the technique known as “silver loading” this year after President Donald Trump cut federal payments to insurers. But some conservatives objected because it meant the cost of premium subsides for the federal government went up.