Blue Shield, California’s Biggest Obamacare Insurer, Vows It’s Not ‘Running For The Hills’
The company’s CEO also dismisses Trump’s notion of selling insurance plans across state lines, calling it ‘perplexing.’
Insurance
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Despite Anger At Health Law’s Mandate, GOP Plans Could Also Have Penalties
President-elect Donald Trump has suggested that he would like to keep the health law’s ban on preexisting conditions. But that only works if insurers can be guaranteed a robust market, so Republicans must figure out a way to coax in healthy customers.
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Elections 2016
Republicans Likely To ‘Give Themselves Time’ To Set Health Law Replacement
KHN's Julie Rovner joins a panel on 'NewsHour' to talk about how the new Trump administration and congressional Republicans might seek to repeal and replace the federal health law.
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Concerned About Losing Your Marketplace Plan? ACA Repeal May Take Awhile
Republican efforts to get rid of the federal health law are expected to take some time to work through Congress and leaders have promised to give consumers time to adjust to those changes.
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Elections 2016
Repealing The Affordable Care Act Could Be More Complicated Than It Looks
Republicans will likely chip away at the ACA piecemeal and say they will try to provide a soft exit.
By Julie Rovner -
Uninsured In Coal Country: Desperate Americans Still Turn To Volunteer Clinics
Dire dental needs and other health problems keep Remote Area Medical’s pop-up free clinics busy in states like Virginia that haven’t expanded Medicaid.
By Sarah Varney -
Blue Shield Again Owes Californians Millions In Health Care Rebates
The insurer is on the hook for $25 million in refunds to about 240,000 enrollees with employer coverage.
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Healthy Customers, And Those With Major Medical Needs, May Want Bronze Plans
The bronze plans’ lower premiums -- coupled with the health law’s out-of-pocket-spending protections -- may make these policies an attractive option.
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As Insurers Cut Brokers’ Commissions, Consumers May Have One Less Tool For Enrollment
Some major insurance companies are opting not to pay commissions for plans sold on the Affordable Care Act’s marketplaces. Will this decision make enrollment season more difficult for consumers?
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7 Tips To Help Avoid Costly Health Plan Enrollment Headaches
Despite fears of rising costs and fewer insurers on the health law’s marketplaces, consumers can find the best deals by carefully evaluating plans and checking out the fine print.
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Insurers, Hospitals Clash Over Help Paying Obamacare Premiums
Insurers charge that hospitals and other health providers are using third-party groups to help some low-income patients buy marketplace plans, which bring higher reimbursement rates.
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Study Finds Significant Differences In Plans Sold On Or Off The Exchanges
Researchers at the Robert Wood Johnson Foundation found more bronze and gold offerings off the exchange and better out-of-network options. But there are no subsidies.
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Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors
Some insurers have been allowed to move customers on the health law's marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.
By Susan Jaffe -
What Would A Public Insurance Option Look Like?
UCLA health policy expert Gerald Kominski says a “public option” health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.
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Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories
The federal government's first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.
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Burwell Says Upcoming Enrollment Efforts Are Pivotal For Health Law
Health and Human Services Secretary Sylvia Burwell announces that federal officials expect the number of people picking plans will grow by 1 million this year to nearly 14 million people, but she acknowledges that rising prices and fewer insurers are challenging the marketplaces.
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Emergency Room Use Stayed High In Oregon Medicaid Study
A new study on Oregon’s famed Medicaid experiment eight years ago shows no decline in emergency room care even after two years of coverage.
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Are Blues’ Plans Benefiting Unfairly From Program To Offset Cost Of Sicker Patients?
Other insurers complain that Blue Cross Blue Shield plans have bloated overhead costs and reap too much from the Obamacare risk-adjustment fund, paid for by insurers. The companies deny it.
By Chad Terhune -
7 Insurers Alleged To Use Skimpy Drug Coverage To Discourage HIV Patients
The plans sought to discourage costly HIV patients by not including their drug needs in formularies or requiring high cost sharing, a Harvard Law School group says in a complaint filed with HHS.
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Frustration Runs Deep For Customers Forced To Change Marketplace Plans Routinely
Doctor and hospital switching is a recurring scramble for these consumers who face rising premiums and plan exits.
By Jordan Rau