The news magazine 60 Minutes said on a recent show that insurers are denying mental health claims for patients in need of chronic long-term mental healthcare. In fact, the show said Anthem had more than a 90 percent denial rate for mental health claims, according to CBS News.
After a busy year, in 2015 the focus of the Affordable Care Act will primarily shift to the employer mandate and related compliance issues.
Companies with fewer than 50 workers are not required to offer health insurance to their employees. As a result, many small business are dropping coverage for their employees. Instead, they are encouraging workers to purchase individual plans on Healthcare.gov.
After attracting big-name employers such as Sears and Walgreens last year, private health insurance exchanges failed to sign up any major companies for 2015, according to Reuters.
Millions of consumers who purchased health insurance during the last open enrollment period must decide today whether they want a new plan beginning Jan. 1, 2015.
Establishing new national high-risk pools like the pre-existing condition insurance plan under the Affordable Care Act isn't a good alternative to expanding ACA coverage. That's because insurance works best when payers can spread risk evenly across a large population, according to a new issue brief from the Commonwealth Fund.
Whenever my wife and I receive a health insurance statement in the mail, we begin a familiar ritual. I open the envelope, show the contents to my wife and ask, "You want this?" She shakes her head. I walk downstairs and add it to the growing pile that I'll stuff into a manila folder in a file cabinet that, at this point, is far too heavy to move. This scenario plays itself out all too often at my house--and probably at yours.
With 2014 drawing to a close, the health insurance industry has its eyes set on 2015 and beyond. Big data and wearable tech, among other things, have the capacity to revolutionize health insurance.
With Monday's deadline for re-enrollment in Obamacare health plans looming, insurers are preparing for the possibility that million of customers could change plans.
As insurers continue adopting new payment models and benefit designs, more than 88 percent said they will use health information technology to transform their organizations, according to a new survey from HealthEdge.
The GOP spending bill, which the House passed last night, contains a provision that benefits Blue Cross Blue Shield insurers--but not other insurance companies.
Payers have so much data available to them that they can create all kinds of valuable programs and projects that serve their members.
That's the belief driving Aetna CarePal, a pilot program that connects members who have recently been diagnosed with breast cancer to members who have already survived the disease.
The Senate Republican Conference approved Sen. David Vitter's (R-La.) proposal that requires members of Congress and their staffs onto the Affordable Care Act's exchanges.
Premiums are up but deductibles are down in the early weeks of open enrollment for consumers using the federal exchange to shop for unsubsidized plans, according to survey data released by eHealth Inc.
Ever since the Supreme Court announced that it will hear King v. Burwell to determine the legality of the Affordable Care Act's subsidies, there has been a lot of speculation as to how the ruling will play out. Affected states could offset the case's outcome by building their own exchanges--but that's easier said than done.
Insurers are blasting a Republican-backed Congressional spending bill, saying it will cut vital federal payments and lead to an increase in healthcare costs.
Insurance executives don't think that health information technology analytics can evolve to help their companies address their top challenges of regulatory compliance, value-based reimbursement, and patient-centered care, according to a recent survey from consulting company Genpact.
In an era where healthcare consumers shop around for their best insurance options, technology and healthcare firms increasingly use decision support software to help people find optimal coverage.
Premiums for employee-based family health insurance plans increased 73 percent from 2003 to 2013, and employer contributions to those plans jumped 93 percent, according to new research from the Commonwealth Fund.
U.S. health insurers and brokers can expect solid margins and return on capital next year, Fitch Ratings announced.