New York officials are considering whether to require insurers provide out-of-network benefits on all plans sold on the state's health insurance exchange, reported Capital New York. But insurers are pushing back, saying the move could cripple one of the most successful marketplaces in the country.
To deliver cost-efficient, effective care, health plans must understand the health needs of the criminal justice-involved population, according to a study in the March issue of Health Affairs.
Six top executives at Blue Cross Blue Shield of North Carolina earned at least $1 million last year, with its CEO taking home the biggest payout. In a filing with the Department of Insurance, BCBSNC disclosed that executive compensation for its top 10 execs increased by almost 11 percent last year.
Almost 20 percent of consumers with individual plans said their insurance was no longer offered because it didn't meet Affordable Care Act requirements.
Between 2.4 million and 3.5 million people have enrolled in Medicaid as of January, a new analysis from Avalere Health has found. The enrollment figures include up to 1.7 million newly enrolled individuals who signed up in January alone.
Charlie Baker, former CEO of Harvard Pilgrim and candidate for Massachusetts governor, described the two most valuable lessons he learned when he headed the insurance company--creating a culture of accountability and establishing a culture of service.
The failed launch of HealthCare.gov created headaches for insures and patients alike. But when President Barack Obama recruited "the best and brightest" tech experts things started to turn around for the beleaguered enrollment website, An article in Quartz credited much of that turnaround to changes in work culture, specifically three new management policies.
Despite the success of Medicare's prescription drug program, changes proposed by the Obama administration are coming under heavy fire, reports Kaiser Health News.
Medicare Advantage organizations will see a 5.9 percent payment cut in 2015 that would jeopardize their sustainability, claims a new report from America's Health Insurance Plans--much higher than federal estimates.
The federal healthcare exchanges reduce consumer choice and correlate with higher prices, according to a study released by the conservative National Center for Public Policy Research.
Health officials in San Francisco are betting that inmates with health insurance will be less likely to re-offend upon release.
Americans who couldn't enroll in health insurance plans due to problems with state exchange websites and bought coverage elsewhere can still get federal tax credits and retroactive cost-sharing, the Centers for Medicare & Medicaid Services announced yesterday.
Health insurers need to know the health status of exchange enrollees to determine premium prices for next year. But under the healthcare reform law, enrollees don't have to disclose pre-existing conditions. So, insurance companies are reaching out to their new customers for information about their medical conditions, medications and lifestyle.
The nation's 23 nonprofit CO-OPs created by the Affordable Care Act have an uneven track record as the enrollment deadline for individual plans approaches, The New York Times reported, with price emerging as a determinant of success.
Several restaurants in Florida and Los Angeles have tacked on healthcare reform surcharges to customer bills to help pay for complying with the looming employer mandate, the Orange County Register reported.
Eighty percent of pre-healthcare reform coverage exclusions are still among the most frequently excluded by ACA plans, according to a new study from HealthPocket.
State exchange computer systems could be open to back-door security vulnerabilities, the Associated Press reported.
About 4 million people have signed up for a private health plan through federal and state health insurance exchanges, the Centers for Medicare & Medicaid Services announced.
The Obama administration is quick to call the Affordable Care Act a success, signing up 4 million new consumers through health insurance exchanges, for example. But success for insurers in a post-reform market depends on three main factors.