Health Insurance
Summary of the Centers for Medicare & Medicaid Services’ final rule with additional policies for health insurance issuers and the Health Insurance Marketplaces for plan years 2022 and beyond.
bout 2.1 million people selected a 2021 health plan through the federally facilitated marketplace between Feb. 15 and Aug. 15 during the special enrollment period created in response to the COVID-19 emergency, with an additional 738,000 enrolling through the 15 state-based marketplaces, the…
The Centers for Medicare…
America’s hospitals and health systems have deep concerns about several Anthem policies that challenge their ability to care for patients during the COVID-19 global pandemic.
The Department of Health and Human Services, in advance of the next ACA open enrollment period, announced a major expansion of the number of federally funded navigator organizations.
The National Association of Insurance Commissioners has formed a working group to address deceptive marketing of health plans and other products that “lead consumers to believe they are purchasing comprehensive health coverage when they are really purchasing coverage that does not cover all pre-…
An estimated 72% of the two largest commercial health insurers in each state and the District of Columbia are no longer waiving patient cost sharing for COVID-19 treatment, according to an analysis released by the Kaiser Family Foundation.
ABILITY can help identify more active insurance coverage, including secondary and tertiary policies, and highlight patient eligibility for programs like Medicaid. Identifying the appropriate payers at patient intake can help make denial management a thing of the past and secure your hospital’s…
The recent Healthcare Information and Management Systems Society (HIMSS) Global Conference gave tech firms, pharmacy retailers and provider organizations a chance to share insights about digital advances and how they may impact future health care delivery. Here’s what caught our attention during…
UnitedHealth Group and/or its affiliates will pay over $13 million to resolve federal, state and private litigation alleging violations of federal and state mental health parity laws, according to court filings in New York.