State Options To Control Health Care Costs And Improve Quality

The innovations that some states are implementing to reduce costs while maintaining or improving quality can and should be replicated by other states. Following is a comprehensive summary of options that states can choose from to improve the quality and sustainability of their health care systems.

ObamaCare Enrollment Dives As New Customers Don’t Pay

As of the end of February, Washington state had lost 12% of the 200,691 customers who signed up, with 176,914 still active. Yet state data show that only 156,493 customers had submitted payment by the end of February, with other shoppers facing their first due date in March, so it’s likely that there will be more dropouts.

Health Care That Targets Unmet Social Needs

The definition of what counts as health care is expanding. Health care systems can responsibly steward and amplify shared economic, human, and community resources to deliver high-value care within and beyond a provider’s walls. Our pilot project at Kaiser Permanente is one concrete step in that direction.

AHIP Head Warns That ACA Premium Increases Are Coming

Marilyn Tavenner, a premier spokeswoman for insurers, is among those in the insurance industry who says the ACA marketplaces are not yet stable. More than half of the nonprofit ACA co-op insurers have failed, and United Health announced this week that it’s pulling out of many exchanges.

While UnitedHealth Pulls the Plug on Obamacare, Data Shows Where and Why It Failed

UnitedHealth Group, the nation’s largest commercial health insurer, made good on a six-month-old threat and announced Tuesday that it will pull out of Affordable Care Act exchanges in all but “a handful of states” after this year. It’s proper to remember that although it’s the nation’s largest commercial health insurer, United operates chiefly in the employer-sponsored, Medicare, and Medicaid markets.

Abandon Ship: UnitedHealth To Exit ‘Unsustainable’ Obamacare Exchanges In 34 States

Because Obamacare’s individual mandate is so weak, and because the Obama administration created various loopholes to juice enrollment numbers, people who sign up for exchange-based coverage have had the ability to come in and out of the system whenever they need someone to pay for their health care. UnitedHealth Group, America’s largest health insurer, announced that “over 20 percent of our enrollment base were folks that had joined us after enrollment,” increasing to 30 percent, and that these late enrollees were consuming 20 percent more health care than usual enrollees.

Gov. Jay Inslee Vetoes Major Parts of Bill to Improve Western State Hospital

On Tuesday Governor Inslee, a Democrat, vetoed several sections of Senate Bill 6656, including a portion that would have allowed psychiatric nurses with advanced degrees to fill vacant psychiatrist positions at the hospital. State Sen. Andy Hill, the Republican sponsor of the bill, said Inslee had nixed the measure’s most important reforms.