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The Golden State was the first to create a health care exchange under federal law. But setting up the online marketplace will take time -- and money that the cash-strapped state might not have.
Businesses and individuals looking for convenience are contracting with services that will provide same-day medical appointments at home or office.
The National Association of Insurance Commissioners is considering whether to endorse legislation that would remove broker and agent commissions from the medical loss ratio. The final decision will have far-reaching implications for the reliability of the MLR as a measure of a health plan's value.
Numbers still remain far below estimates for the program designed to help people with pre-existing medical conditions, but cost and lack of publicity may hamper enrollment.
The finishing touches are being made on "coverage fact labels" that will list costs that insurers will cover for some conditions.
Columnists Harold Pollack and Michael F. Cannon contribute very different opinions on the Republican proposal to fundamentally change Medicaid.
The president and the Republicans agree that balancing the federal budget is impossible without restraining Medicaid spending. That will be much easier if we could stop pretending that every single Medicaid enrollee needs to be there.
Michelle Andrews answers a question from a mother whose daughter is uninsured and needs some inexpensive care. Andrews says going to a community health center may be a good option for her.
Some private plans serving people in Medicare and Medicaid have set up health care centers to help make sure patients get needed treatments and avoid hospitalizations.
Michelle Andrews answers a question from a mother whose daughter lost her insurance and was diagnosed with bipolar disorder. What are her options to get coverage?
One of the most popular provisions of the overhaul shows early success, but employers note that it also will usher in higher costs.
The health law guarantees that until the age of 26, children can stay on a family plan. There are exceptions, however, including when the young adult is offered insurance at work - even if that insurance is not as good as Mom and Dad's.
According to a new survey, emergency rooms doctors say crowding is caused by insured people who can't find a doctor to treat them.
Michael T. McRaith, who is taking a new job shortly with the Treasury Department, says state or regional health insurers are having trouble remaining viable.
Many states are trying to restrain Medicaid spending by putting more people into managed care plans, but with billions of dollars at stake, insurers and health providers are lobbying hard for their interests.
The groups are financed through a monthly fee, and those revenues are divvied up and sent to members when they have health care expenses.
The billing can get complicated if doctors find a polyp during a screening: Some insurers
In her search for a health plan, Lisa Drew discovered that her ZIP code was a black hole for individual coverage.
Live organ donors - who can offer kidneys or part of their liver, lung or pancreas
RAND Health Vice President and Director Arthur Kellermann, M.D., disputes the way his organization's research was depicted in a recent column by John Goodman about Medicaid. Kellerman notes the study in question was designed to examine health care quality, not to determine the value of different types of insurance.
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