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.
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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.
With billions at stake, hospitals are lobbying hard for Medicaid expansion in Columbus, Tallahassee and other state capitals where state legislators oppose the extension of the program.
By moving up renewal dates on plans sold directly to consumers, insurers could delay meeting law's requirements for up to a year.
The Society of Actuaries is predicting that because of the health law, on average, insurers will have to pay 32 percent more for claims by 2017. What does that mean for consumers?
Consortium of large employers says that only 10.9 percent of employers' health spending is based on value-based payment.
The federal government gave the green light to Florida to put its long-term-care Medicaid patients into managed care. The big question now is: Will it work?
Businesses want employees to be more sensitive to the cost of medical care, but consumer advocates worry that decisions will be based on price, not quality.
For many years, hospitals were reluctant to address physicians who berated nurses, threw scalpels or demeaned co-workers. But increasingly such actions bring discipline.
A recent study found that the health care industry isn't benefiting from computer networks that have transformed other fields. But the federal coordinator for health IT says there has been a lot of progress that will result in better care and cost savings in the future.
The health overhaul prohibits new insurance plans from charging higher copayments or coinsurance amounts for out-of-network emergency services or from imposing other coverage limitations that wouldn't apply to in-network care.
Medicaid-eligible seniors who need long-term care likely will start enrolling later this year in HMOs and another type of health plan known as a "provider service network." The long-term care changes are the first phase of a controversial proposal to shift Medicaid beneficiaries statewide into managed care.
The storefront doctor's offices serve a vast number of uninsured Latino residents, in a kind of parallel, cash-only health system. But officials have little information on the quality of health care the clinicas provide, and whether they might be able to help fill persistent and profound gaps in Los Angeles' strained safety net.
An effort in California to move Medicaid patients into managed care has national significance as federal officials roll out a similar but larger program for as many as 2 million people who qualify for both Medicaid and Medicare.
Insurers develop new business strategies as the health law upends old models.
The health economist and former presidential adviser is leading a board overseeing the state's cost-control law.
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