Deciphering The Health Law’s Subsidies For Premiums
Tax attorney Cathy Livingston helps explain how consumers with lower incomes will be able to get financial assistance when buying a health insurance policy on the new online marketplaces.
New York is one of five states that required insurers to sell to everyone prior to passage of the health law but did not require consumers to buy coverage, leading to some of the nation’s highest premiums.
Obama Says Health Law Is Saving Consumers Money
President uses speech to push back against critics, highlight law’s benefits to middle-class and working Americans.
Some States Are Pushing ‘Employee Choice’ For Small Business Insurance
Small business workers in at least 15 states and the District of Columbia may have a menu of health insurance choices next year, something that didn’t seem likely a few months ago. Back in April, federal officials concerned about the potential for major glitches put off until 2015 a provision that would offer small businesses […]
National Health Plans, Designed To Spur Competition, May Be Unavailable In Some States Next Year
The federal health law requires two plans in every state, but few insurers are lining up to play.
Delay In Major Health Law Provision Raises Doubts At Critical Stage Of Rollout
The decision to give large employers an extra year to cover their workers was praised by business leaders but complicates the implementation.
Thousands Of Mississippi Consumers May Not Be Offered Insurance Subsidies
No insurer is offering to sell plans in dozens of mostly rural counties, which would prevent residents from obtaining subsidies through a federal online marketplace.
Big Changes Ahead For Those Who Buy Their Own Insurance
Premiums may increase for young people, but the flip side is insurers must take all comers, broaden benefits and cap out-of-pocket costs.
GAO Report Points To Challenges In Setting Up Federal Health Insurance Marketplaces
The report says that the administration “has many key activities remaining to be completed.”
Improper Use Of Prescription Drugs Costs $200 Billion A Year, Report Finds
The U.S. spends $200 billion each year — about 8 percent of the nation’s health care tab — on medical care stemming from improper or unnecessary use of prescription drugs, a new report out Wednesday says. Much of those costs result from unneeded hospitalizations or doctor visits, according to the study by the IMS Health’s […]
California Insurance Chief Wants To Bar Anthem From Selling Small Business Coverage
Citing a pattern of “unreasonable rate increases” for small business customers by Anthem Blue Cross, California Insurance Commissioner Dave Jones said Thursday he will recommend that the state’s new online insurance marketplace exclude the firm from selling small business coverage. The move comes amid national debate about the cost of coverage for individuals and small businesses […]
Study: Consumers Saved $2.1B On Individual Coverage Under Health Law
People who bought their own health insurance last year saved $2.1 billion because of the federal health law, mainly because of a provision that limits how much of their premium can go to insurers’ administration and profits, says a report out today from the Kaiser Family Foundation. (KHN is an editorially independent program of the […]
California Law Likely Resulted In Lower Bills, Free Care For Uninsured
A California law limiting how much hospitals can charge the uninsured likely resulted in lower bills for many patients – and free care for most of the state’s poorest uninsured residents, according to a study published today in the journal Health Affairs. While some hospitals around the country have voluntarily agreed to reduce how much they […]
Final Rule Upholds Increased Rewards, Penalties For Wellness Participation
Employers will be able to increase rewards to workers who participate in wellness programs under final rules released Wednesday by the Obama administration. The final rules, similar to those proposed in November as part of the Affordable Care Act, have raised concerns among advocates who represent people with chronic or severe illnesses, as well as […]
Hospitals, Testing Companies Face Questions About Value Of Community Screenings
Promotions don’t disclose that many of the tests for heart disease and stroke are not recommended for those without symptoms or risk factors.
Health Perks Geared To Top Workers Could Trigger Penalties Under Health Law
Employers who offer more generous benefits to highly paid workers could face $100-a-day fines for every worker who doesn’t get them.
Boston Children’s Hospital Creates ‘Living’ Practice Guidelines
Overuse of some medical treatments – and underuse of others, when patients fail to get recommended care — are two factors linked to high medical spending in the United States. But efforts to set “best practice guidelines” have often drawn criticism from physicians and patients as “cookbook medicine” that could limit doctors’ autonomy or restrict […]
Auditors: Medicare Could Save Millions By Limiting Advance Payments To Insurers
Medicare could earn up to $111 million annually if it limited insurers’ ability to retain investment earnings on the billions they are paid through the prescription drug program, according to a government reportout today. That’s because Medicare prepays the private insurers approximately 20 days before the insurers pay their pharmacy bills and does not require them to return […]
Groups Seek To Fast-Track Efforts To Curb Costs, Boost Quality
Five veteran health care leaders representing insurers, hospitals, employers and consumers on Thursday outlined an ambitious set of recommendations aimed at slowing rising costs, focused mainly on changing the way America pays for health care. Many of the ideas draw on existing efforts, such as accelerating Medicare’s efforts to pay for quality rather than just […]
Consumer Groups Fear Patients Could Be Hit With Large Out-Of-Pocket Costs
The Obama administration’s decision to delay the health law provision setting a maximum payment cap for some plans spurs complaints from several dozen organizations.
