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In the 28 states GAO analyzed for both 20, the minimum premiums for silver plans available to a 30-year-old increased in 18 states, decreased in 9 states, and remained unchanged in 1 state.At the county level, GAO found that premiums for the lowest-cost silver option available for a 30-year-old increased by 5 percent or more in 51 percent of the counties in the 28 states.

On September 9, 2015, the Government Accountability Office released a report, dated August 10, 2015, describing the availability and premiums of health insurance plans available on the marketplaces and in the individual market generally for 20.

The Patient Protection and Affordable Care Act of 2010 will have a significant impact on payment systems—as will other recent reform measures.

This paper contains primers on revenue-cycle management, health insurance systems, medical claims, claim coding, electronic-data interchange (EDI), claims processing, and public and private reimbursement methods for hospitals and physicians.

Consumers in most of the counties analyzed had six or more plans to choose from in each of the bronze, silver, and gold tiers in both 20.

The percentage of counties with six or more plans in those metal tiers increased from 2014 to 2015.In general, states that had higher minimum premiums in 2014 were likelier to see decreases for 2015, while those that had lower minimum 2014 premiums were likely to see increases.

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