Posts Tagged Insurance

GAO: Most Air Ambulance Providers Out-of-Network for Privately Insured

More than two-thirds of air ambulance transports for patients with private insurance were out-of-network in 2017, putting patients at financial risk for the difference charged, according to a recent report by the Government Accountability Office (GAO). GAO analyzed a private health insurance data set for

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Study: For-profit Insurers More Likely to Exercise Market Power

For-profit insurers are more likely than not-for-profit insurers to exercise market power when they have it, according to a new study by Harvard Business School professor Leemore Dafney. The author looked at Blue Cross and Blue Shield affiliates that converted to for-profit status in 11

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NCHA Comments on CMS Proposed Rule on Medicaid and CHIP Managed Care

NCHA submitted a comment letter on the Centers for Medicare & Medicaid Services’ (CMS) Medicaid and Children’s Health Insurance Plan (CHIP) Managed Care proposed rule. NCHA is pleased with CMS’s recognition of the critical nature of the use of pass-through payments as a mechanism

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CMS: 2019 Enrollment Tops 4.1 Million

More than 4.1 million people, 236,693 in North Carolina, selected a 2019 health plan through between Nov. 1 and Dec. 8, including more than 934,000 last week, the Centers for Medicare & Medicaid Services reported this past week. Almost three-quarters of those selecting plans were

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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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Survey: Large Employers Identify Approaches to Manage Rising Health Costs

Large employers project the total cost of providing medical and pharmacy benefits will rise 5% in 2019 to $14,800, according to the latest annual survey by the National Business Group on Health. The total includes premiums and out-of-pocket costs for employees and dependents, with employers

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HHS issues final rules for 2019 Health Insurance Marketplaces

The US Department of Health and Human Services has issued final rules for the health insurance marketplaces for plan year 2019, as well as the 2019 Letter for issuers selling on the federally-facilitated exchanges. The rule includes a number of policy changes for both the individual market

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