Co-op insurer partners with Capella, Saint Thomas JV

Health insurance co-op Community Health Alliance has partnered with Capella-Saint Thomas Health System, the joint venture between local hospital owners Capella Healthcare and Saint Thomas Health.

The partnership adds to the insurer's network the joint venture's four upper Cumberland hospitals: River Park Hospital in McMinnville, Highlands Medical Center in Sparta, DeKalb Community Hospital in Smithville and Stones River Hospital in Woodbury.

Locally, nonprofit and member-owned CHA already had Vanderbilt University Medical Center, TriStar Health and Williamson Medical Center in its networks. CHA launched last year and is expected to make a dent in the local insurance market through the federal health insurance exchange this year, with some of the cheapest insurance premiums in Nashville.

Nov 18, 2014 1:20 PM

State uninsured rate drops 25 percent

A study released by the University of Tennessee Monday found that Tennessee's uninsured population has decreased by 25 percent from last year, marking the lowest percentage of uninsured Tennesseans in a decade.

The report found that 7.2 percent of Tennessee's 6.5 million residents are uninsured. The state has also seen a 35 percent decrease in the number of uninsured children.

The uninsured rate was helped by the establishment of the health insurance marketplace through the Affordable Care Act, the report said. The national conversation around health reform encouraged many uninsured people to evaluate their eligibility for Medicaid or federal subsidies to obtain insurance through the marketplace. Last year, TennCare experienced the third-highest new enrollment in its 20-year history.

The study also found that 93 percent of TennCare recipients were satisfied with the program. That number stands in stark opposition to a stance held by three legal advocacy groups that sued the state in federal court this summer over the agency's alleged inefficiencies.

For uninsured Tennesseans, the report found that the reason residents fail to obtain insurance is still the same — cost and affordability.

"The major reason that people continue to report being uninsured is their perception that they cannot afford insurance," the study said. A significant change in this year's results was that 12 percent of respondents said they did not obtain insurance because they did not need it, which is more than double the percentage from 2013.

It is unclear what impact this study might have on the possibility of Medicaid expansion in the state. Tennessee has so far declined federal funding to expand coverage and the Republican-controlled legislature remains opposed. Gov. Bill Haslam has said he continues to work with the feds to develop a plan and some of the state's health system execs have put Tennessee in the "maybe" camp for expansion. But a declining uninsured rate sans expansion might give opponents a little more influence in arguing against the funding.

For the full report, click here.

Nov 17, 2014 12:54 PM

A look at 2015 insurance exchange prices in Nashville

City costs set to jump above those of several other regional markets
Nov 14, 2014 3:00 PM

Lucent Health acquires North America Administrators

New risk management company led by ex-Comdata president also raises $13.5M
Oct 21, 2014 2:27 PM

BlueCross partners with MissionPoint for new insurance product

Plan cuts costs for choosing Saint Thomas providers
Oct 16, 2014 6:51 AM

Co-op insurer partners with TriStar for narrow network

Partnership for '15 provides more affordable options
Oct 7, 2014 1:34 PM

Tennessee health insurance prices still among nation's lowest

Premiums going up, but not as high as other states
Sep 8, 2014 6:55 AM

Why more health care providers are eschewing insurance

Panel of locals discusses innovating outside of payer system, appealing to cash patients
Aug 13, 2014 1:40 PM

Thousands could lose marketplace health insurance over citizenship issues

Nearly 4,000 Tennesseans with health insurance through the federal marketplace could lose coverage in September due to incomplete citizenship data.

The Centers for Medicare and Medicaid Services reported that in May, 970,000 enrollees nationwide had inconsistencies in their citizenship information and needed to submit supporting documents to retain coverage. CMS reports that over the summer, 450,000 cases have been resolved and an additional 210,000 cases are in progress.

However, 3,800 Tennesseans have not submitted any of the required citizenship documents. That's 2.5 percent of the state's total marketplace enrollees, as of enrollment data released in May. The deadline for document submittal is Sept. 5.

"Over the last several weeks, the marketplace has reminded affected enrollees in the federally-faciliited marketplace via mail, email and phone to send in their supporting documents so they can keep their marketplace coverage, and insurance companies have reached out directly to these customers as well," Marilyn Tavenner, CMS administrator, said in a release.

Aug 13, 2014 1:10 PM

BlueCross BlueShield launching private exchange product

Employers seek range of choices in health insurance
Aug 8, 2014 12:56 PM