Archive for the Insurance Category

Report: Workers Spending More for Health Insurance

Employees contributed an average of $1,415 toward premiums for single coverage and $5,218 for family coverage in 2017, according to a report released recently by the Commonwealth Fund. The employee premium contributions were 6.8 percent higher for single health coverage and 5.3 percent higher for

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High-Deductible Health Plans

What You Need to Know Purchasing health insurance on your own or choosing the right plan from your employer can be complicated. Regardless of whether you are young or a “senior,” married or single, have a family of five exuberant kids or three

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ACA Open Enrollment Now Underway

Open enrollment runs Nov. 1- Dec. 15 for the federal health insurance exchange (Healthcare.gov), where individual plans are offered under the federal Affordable Care Act (ACA). Coverage begins Jan. 1, 2019. There were 524,000 North Carolinians enrolled for 2018 through the exchange, the fourth highest in the country.

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NCHA joins other associations urging court to stop 340B payment cuts

NCHA and 34 other state and regional hospital associations urged the U.S. Court of Appeals for the District of Columbia Circuit to reverse a district court decision and grant a preliminary injunction to stop a nearly 30% Medicare payment reduction for many hospitals

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CMS issues final list of Essential Community Providers for plan year 2019

The Centers for Medicare & Medicaid Services recently published a final list of Essential Community Providers for plan year 2019, available on the CMS website under “Application Resources.” Health insurers use the annual list to identify providers meeting ECP requirements for Qualified Health Plans participating

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Feb. 23 webinar with United Healthcare on ED coding and reimbursement changes

United Healthcare (UHC) announced that it will revise the current Emergency Department (ED) Facility Evaluation and Management (E/M) Coding Reimbursement Policy for UHC Commercial Plans and adopt new policies for UHC Medicare Advantage Plans effective for dates of service on or after March

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Appeals Court approves request to expedite 340B lawsuit

On Jan. 30, 2018, the U.S. Court of Appeals for the District of Columbia Circuit granted a motion to expedite consideration of the suit brought by three national hospital groups and three local health systems against U.S. Secretary of Health and Human Services Alex

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CMS announces state grants to implement insurance market reforms

The Centers for Medicare & Medicaid Services recently announced funding for states to plan and implement certain health insurance market reforms under the Affordable Care Act. The agency’s Center for Consumer Information and Insurance Oversight expects to award a total of about $8.1 million in

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CMS announces call to discuss low volume appeals settlement option

CMS will host a call Feb. 13 from 1:30 p.m. to 3 p.m. to discuss its new settlement option for healthcare providers with fewer that 500 Medicare Part A and B claims appeals pending at the Office of Medicare Hearings and Appeals as of

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DMA extends use of exemption list for interns and residents to April 30

The NC Division of Medical Assistance (DMA) announced that the National Provider Identifier (NPI) Exemption List, which allows interns and residents enrolled in graduate dental and medical programs, and area health education centers to be exempt from the provider enrollment requirement will now

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