Appealing An Insurer’s Denial Is Often A Good Strategy
GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
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Colorado’s New Element In Exchange Plan: Certainty
The outcome of last week's election means Colorado's home-grown insurance exchange is green-lighted.
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Missouri, Kansas Reject State-Run Health Insurance Exchanges
The moves by Kansas Gov. Sam Brownback and Missouri Gov. Jay Nixon open the door for increased federal involvement in health care in staunchly Republican territory.
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Effort To Curb Medicare Spending Begins With Crackdown On Hospital Readmissions
The 2010 federal health law calls for penalties for hospitals with high rates of readmissions as the government seeks to trim spending in the the health program for the elderly and disabled.
By Jordan Rau -
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Insurance Commissioners Reject Calls To Limit Seniors’ Medigap Policies
The group argues that increasing cost-sharing would stop people from seeking necessary care.
By Susan Jaffe -
Hospitals Offer Wide Array Of Services To Keep Patients From Needing To Return
Free scales, diet tips and home visits from nurses all aim to curtail readmissions.
By Jordan Rau -
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States Count Down To Decisions On Health Exchanges
With time running out, 17 states and D.C. commit to setting up the new markets, eight are undecided and the rest weigh partnering with the federal government -- or letting the feds take over.
By Alvin Tran and Phil Galewitz -
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Drug Coupons: A Good Deal For The Patient, But Not The Insurer
Makers of brand-name prescription drugs often offer discounts to help defray patients' co-pay costs, but insurers say that drives up their overall health spending.
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President’s Win Is Reprieve For ‘Obamacare’
The president's victory cements the Affordable Care Act, expanding coverage to millions but leaving weighty questions about how to pay for it.
By Jay Hancock