Lawsuit Accuses Anthem Blue Cross Of ‘Fraudulent’ Enrollment Practices
Consumer group alleges the insurer put out inaccurate information about benefits and providers to gain market share.
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Mountainous Backlog Stalls Medi-Cal Expansion in California
It's hard to pin down why applicants are waiting so long for approval, and when the problem will be resolved. Meanwhile, some people are putting off treatment.
By Helen Shen -
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Health Law Calls For Some Workers To Be Automatically Enrolled In Coverage
A provision of the ACA that could be implemented as early as next year requires employers with more than 200 workers to sign up employees in one of the company's plans. Workers may opt out, however.
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California Makes Significant Progress In Enrolling Previously Uninsured, Survey Finds
But more than 40 percent of those who lacked coverage last fall still don't have insurance.
By Anna Gorman -
Insurers Push Back Against Growing Cost Of Cancer Treatments
Many are encouraging the use of less-costly regimens and paying the same for drugs, whether they're given in hospital outpatient settings or doctors' offices.
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Obamacare Creates ‘Upheaval’ At Free Clinics
With many of their patients now insured under the law, most W. Va. free clinics are choosing to get paid by Medicaid.
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Say What? Many Patients Struggling To Learn The Foreign Language Of Health Insurance
Decoding premiums, co-insurance, co-pays and deductibles has some people reeling
By Anna Gorman -
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ACA Hasn’t Boosted Use Of Mental-Health Care Services In Philly Region
Caregivers blame Pennsylvania's decision not to expand Medicaid, as well as the continued stigma of seeking such care.
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Rape Victims May Have To Pay For Some Medical Services
Federal law seeks to keep sexual assault victims from paying for forensic exams, but in some states they may have to cover tests and treatment for pregnancy or sexually transmitted infections.
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School Nurses’ Role Expands With Access To Students’ Online Health Records
In a few districts, doctors and hospitals are making their records available to school health officials to help provide better care for children with chronic conditions.
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Methodology: How Hospital-Acquired Conditions Are Calculated
Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.
By Jordan Rau -
Texas Nurse Practitioners Look to Ease Supervision Rules
Texas lawmakers loosened some supervision requirements during the last legislative session, but nurse practitioners are still battling for increased autonomy in the state Medicaid program.
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Jury Is Still Out On Medicaid Managed Care
While a growing number of states are contracting with managed care companies to manage their Medicaid programs, there are still questions about cost savings and quality.
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Will Health Reform Bring New Role, Respect To Primary Care Physicians?
By paying primary care doctors to cut specialist and hospital revenue, CareFirst BlueCross BlueShield is helping to alter the medical spoils system.
By Jay Hancock -
For Asian Immigrants, ACA Coverage Contains Mysteries
In navigating the health law, Asian immigrants in Philadelphia, find that the obstacles can be both cultural and political.
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California Doctors Among Those Charging Medicare The Most For Office Visits
Billing data show that some doctors charge the government much more than their peers in the same specialty by deeming almost all office visits "complex."