The California agency responsible for developing and running the health insurance exchange has been extremely secretive about its contracts and records, keeping information about hundreds of millions of dollars it has spent away from the public--and insurers selling plans on the exchange.
Lawmakers in Pennsylvania and California are considering legislation that would clarify the work hospitals need to do to preserve their not-for-profit status.
A new study shows individual premiums will likely rise an average of 30 percent in California, and has national implications because the state is leading the country in implementing reform provisions, particularly the online marketplace.
Kaiser Permanente has been wrongly denying its members appropriate access to mental healthcare, including subjecting them to long periods between appointments and providing inaccurate information about coverage, according to a state finding.
Insurers planning to sell policies in California's health insurance exchange will have to bid for the opportunity and other states are considering requiring some conditions be met before letting insurers do business through their online marketplaces, Bloomberg reported.
Payers in California are dragging their feet and delaying compliance with state law requiring they cover behavioral therapy for members with autism, the state insurance department said Thursday.
Embracing coordinated care could allow California to cut $110 billion in healthcare spending over the next decade, concludes a report from the Berkeley Forum.
California Gov. Jerry Brown has asked the Obama administration for broader leeway to control costs for the Medicaid program--a call for flexibility that's being echoed by other governors.
California is looking to divide the state into geographic regions to help determine how insurers set premium rates--but lawmakers, regulators and insurance companies disagree over the number of regions necessary.
Hospitals in New Hampshire and Utah are seeing significant spikes in levels of uncompensated care, a trend that could foretell similar financial issues for acute care providers in other parts of the country