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Most Small Health Plans Struggle To Thrive In California Insurance Marketplace
About 96 percent of Covered California customers are picking among the "big four" plans, according to a "Road to Reform" analysis of October and November enrollment figures. (Based on off-the-record interviews with several health plan officials, a similar trend continued through December).
About 96 percent of Covered California customers are picking among the "big four" plans, according to a "Road to Reform" analysis of October and November enrollment figures. (Based on off-the-record interviews with several health plan officials, a similar trend continued through December).
Exchange officials take issue with that characterization. "While the majority of enrollment across the state is in four plans, it's different when you look region by region," Executive Director Peter Lee said in December.
However, a region-by-region look shows that's not true. "Road to Reform" analysis reveals that those four plans commanded 100 percent of sign-ups in nine of Covered California's 19 regions, and captured at least 95 percent of market share in seven other regions.
Oz Confirmation Hearing Probes Vision for Medicaid but Coalesces Around Well-Being
March 14th 2025Mehmet Oz, MD, the nominee to lead CMS under the Trump administration, testified in a confirmation hearing before the Senate Finance Committee, where he found common ground on improving outcomes through healthier lifestyle choices but encountered repeated questions on potential Medicaid cuts.
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As Claims Denials Surge, AI and Data-Driven Insights Equip Clinicians, Hospitals to Fight Back
March 13th 2025As health care costs continue to rise and the burden of chronic disease grows, data-driven insights will be essential in shaping the future of patient care, according to experts from Komodo Health and SmarterDx.
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