Doctor Discounts For The Asking
It takes some work, but patients can help control health care costs by avoiding unneeded care and negotiating prices, among other things.
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It takes some work, but patients can help control health care costs by avoiding unneeded care and negotiating prices, among other things.
This week, HHS issued rules on high-risk health insurance pools as well as guidance on children's coverage issues. Two new polls focused on seniors and health reform, and both political parties continued to position themselves for the fall elections.
During the health reform debate, people with pre-existing conditions lobbied for affordable health insurance. Now, HHS has issued new rules on how high-risk pools will work.
Deficit and debt drive cuts in jobs and services
A look at the new health law's long-term-care program and the plan to close the Medicare drug doughnut hole.
This week's health policy news was marked by new administration rules regarding the appeals process for denied health insurance claims and continuing state-level efforts to implement high risk pools.
The Obama administration issues regulations that will set some minimum requirements for the process, including allowing patients to appeal the insurer's decision to an independent outside panel.
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.
This week, news outlets covered the Obama administration as it began implementing parts of the new health law and also unveiled a national HIV/AIDS strategy. And, Capitol Hill is still reacting to the president's recess appointment of Dr. Donald Berwick to head the agency overseeing Medicare and Medicaid.
Panel's recommendations on preventive care will determine which services are covered fully by insurance. That could make it a political lightning rod for lobbyists and disease advocates and conflict with its tradition of scholarly dedication to the science of randomized medical trials.
AHIP walks reporters through the process of how actual premiums are calculated for the individual and small group market.
Under the new health law, many insurers will have to publicly report how much they plan to raise premiums and why, but consumer advocates say draft rules on how much information is required to justify "unreasonable" increases fall short.
Democrats had hoped to extend health insurance subsidies for newly laid off workers, extend extra Medicaid payments to the states, and pass a long term Medicare 'doc fix' before the July 4 recess. But all they could accomplish was a short-term Medicare fix.
The new health law mandated that the government set up a website to help consumers understand all of their insurance options. The site, www.healthcare.gov, launched July 1.
The new health care law promises to make it easier for part-time workers to find and buy affordable coverage, starting in 2014. Until then, they don't have a lot of options.
The Department of Health and Human Services is facing July 1 deadlines for creation of high-risk pools to help individuals who have been without health insurance for six months or longer and a new web portal to provide consumers with information about health insurance plans.
A new federal website will give consumers a list of all private and government health care plans for individuals and small businesses in their areas. Insurers and advocacy groups are clashing over the data to be provided.
As Congress temporarily delayed the 21 percent Medicare pay cut to doctors, it failed to resolve the issue of COBRA benefits and Medicaid funding for hard-pressed states.
Good news and bad news for doctors who treat Medicare patients.
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