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Life Health > Health Insurance > Your Practice

The Catch: Oct. 13

By Allison Bell

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In many states, market forces seem to be well on the way to creating single-payer health finance systems.

Analysts at the Henry J. Kaiser Family Foundation, Menlo Park, Calif., review individual and small group market competitiveness statistics in a new report.

The analysts found, for example, a single carrier supplies more than 65% of the individual health coverage sold in 17 states, and that a single carriers supplies at least 55% of the individual coverage sold in 24 states.

There are only 13 states in which 5 or more carriers each has an individual market share of at least 5%.

In 18 states, the dominant carrier in the small group market has a share of 60% or more in the small group market.

In Alabama, for example, the dominant carrier supplies about 96% of the small group coverage sold, the analysts say.

ACCOUNTABILITY MEETING

America’s Health Insurance Plans (AHIP), Washington, will be hosting a 1-day conference focusing on shared accountability in Washington Oct. 18.

Participants will talk about accountable care organizations, patient-centered medical homes, bundled payment programs, and other strategies for changing the way care is delivered, AHIP says.

PLATINUM, GOLD, SILVER AND BRONZE

Consumers Union, Yonkers, N.Y., will hold a panel discussion Oct. 17 on creating a definition of “actuarial value.”

The group is organization the discussion because a provision in PPACA requires health insurance exchanges to sell 4 levels of coverage, ranging from “bronze” level to “platinum level,” with the tiers determined by a measure of plan “actuarial value.”

Consumers Union will present the results of a study on consumers’ thoughts on the actuarial value concept at the event, organizers say.

SUPER COMMITTEE

The Medicare Rights Center, New York, has sent the Joint Select Committee on Deficit Reduction – the 12-member “Super Committee” that is trying to come up with $1.2 trillion in deficit reduction proposals by Thanksgiving – a petition with 19,531 signatures of individuals who want Congress to leave current Medicare funding levels intact.

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