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Largest Insurance Merger in History

Last Friday news was buzzing with the announcement that Cigna and Anthem will in fact be merging. The $54B deal won’t be finalized without Federal approval, but after long awaited negotiations an agreement has been met. Currently there are five major health insurance carriers, Aetna, Cigna, Anthem, United Healthcare, and Humana. Although three weeks ago Aetna acquired Humana bringing the large carrier count to four. Now this merger takes the count down to three. Speculation as to why these carriers feel the need to merge has been a heightened topic, but a substantial reason has yet to presented itself. Dan Diamond who …

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The ACA is Under a Magnifying Glass

The Affordable Care Act is being looked at by government officials and agencies this week. When the law was implemented a large amount of tax funds were allocated to different programs. Subsidies were given, co-ops were started, and state based exchanges went into operation. Now the ACAs use of funds is being looked at with a fine tooth comb. The Government Accountability Office (GAO) created fictitious enrollments to see how well the system works in providing subsidies to Americans. The problem was eleven out of twelve of those accounts were approved for subsidies with fake documentation, which means the system failed …

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Will The Co-Ops Survive?

When the Affordable Care Act was passed several Health Insurance Co-Ops were created to move away from the traditional healthcare insurers. Grace-Marie Turner with the Galen Institute states, “The co-ops were founded on the idealistic belief that community members could band together to create health insurance companies that would be member-driven, service-oriented, and would not have to answer to shareholders or turn a profit.” This ideal is wonderful, but each of these co-ops are startup companies that are having growing pains. They are each trying to find the balance of premium cost versus losses taken. Several of the co-ops had a …

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What Does the SCOTUS Healthcare Decision Mean?

In an article Avik Roy states, “that if the challengers had won, not one word of the law called the “Affordable Care Act” would have been changed.” He said the real change will be if the vote in the upcoming 2016 election puts a republican candidate in office. Then it won’t be SCOTUS calling the shots, but rather elected officials. With the ACA, the law was meant to help those below the poverty line, but it is still unobtainable with the huge premium spikes. The subsidies do help, but the premiums will continue to increase going into 2016. Obamacare is becoming unobtainable for the …

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Subsidies Stay and Talks of Mergers Resume

With the ruling of King Vs. Burwell in favor of the Obama Administration business moves ahead as normal. Talks of mergers are at the forefront for several of the U.S. healthcare insurers. The Supreme Court ruling had a potential to disrupt the individual market for both individuals and insurers. The top 5 insurers are all considering deals, but two largest mergers that are in the works are Anthem’s bid for Cigna and Aetna acquiring Humana. Cigna’s board has turned down Anthem’s $54B bid. CNBC quotes, “Cigna believes a merger with Anthem would create a health insurance powerhouse, but the Connecticut-based insurer is …

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What if Obamacare is Ruled Against?

With the passing of the A.C.A. healthcare is often a political issue. This is especially true when following the King Vs. Burwell case where Republicans want the law upended and the Democrats would like it to stay as is. Republicans are having to take a second look at their initial push to have Obamacare struck down due to how this could impact their constituents and the upcoming election. If millions of Americans lose coverage this could be a negative in the eyes of voters. The majority of Republicans in office do not want Americans to have a disruption in service and see the need for …

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