Friday marked the deadline for health care insurers to submit for state approval their plans to sell insurance through the public exchange called MNSure. While the complete list of companies that applied is not publicly available, the Minnesota Department of Commerce...
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Massachusetts Health Cost-Control Bill Contains First-in-Nation Fund for Prevention Programs
A coalition of consumer and public health groups applauded the inclusion of money in the health cost-control bill adopted by lawmakers Tuesday to pay for programs to stem chronic illnesses such as diabetes, asthma, and heart disease that are fueling the growth of...
Blue Shield of California Adds Leon Panetta to Board
Former CIA director Leon Panetta is back on the board of directors of Blue Shield of California. Panetta served on the board from 2000 to 2009, when he became director of the Central Intelligence Agency. Now that he’s stepped down as secretary of defense and headed...
7 Insurers Sign on to Participate in Georgia Health Insurance Exchange
Seven health insurers have signed up to offer benefits plans as part of the online insurance exchange that begins enrolling Georgians in October, reports Georgia Health News. The companies that have signed on are: Aetna, Alliant, Blue Cross and Blue Shield of Georgia,...
Senate Takes up Bill to Improve Medicare Audits and Address RAC Concerns
A new Senate bill addresses provider concerns over the Medicare audit process, including the role of Recovery Audit Contractors. The House is also considering a version of the “Medicare Audit Improvement Act of 2013,” which lawmakers originally introduced in October...
Four Largest Insurers in Minnesota to Sell Plans on Insurance Exchange
Consumers buying health care coverage this fall on Minnesota's new insurance exchange likely will have more choices than are currently available, bringing a spark of competition as health reform rolls out in the months ahead. UCare aims to offer a health plan for...
Insurers Limit Doctors and Hospitals in State-Run Exchange Plans
California's health insurance rates for a new state-run marketplace came in lower than expected this week, but one downside for many consumers will be far fewer doctors and hospitals to choose from. People who want UCLA Medical Center and its doctors in their health...
California Unveils Qualified Health Plans, Expected Premiums for Health Benefits Exchange
Covered California, the state agency implementing the Affordable Care Act (ACA), has announced participating health insurers and proposed premiums for the state's exchange, which is expected to provide health insurance coverage to roughly 5 million Californians...
Did CMS Break Rules to Rig Bid Numbers?
Anybody who is paying any attention to the Medicare competitive bidding program understands that the program is fatally flawed. We all know that just about every qualified expert in the field of auction design has agreed that the program breaks just about every rule...
Prominent Payors opt out of California Insurance Exchange
Kaiser Permanente, Anthem Blue Cross and Blue Shield of California are all expected to participate in the state-run market for individual health coverage. Some prominent health insurers, including industry giant UnitedHealth Group Inc., are not participating in...
Highmark Faces Lawsuit that Alleges it Conspires to Inflate Premiums
Five Highmark customers claim the insurance giant and 37 other Blue Cross Blue Shield affiliates are violating federal antitrust laws and conspiring to drive up premiums by squelching competition in Western Pennsylvania and elsewhere. Their federal lawsuit filed...
WellCare Medicare Advantage Members Now Covered At Walgreens Take Care Clinics
WellCare Health Plans, Inc. recently entered into an agreement with Take Care Health Systems, a subsidiary of Walgreens, to offer its Medicare Advantage members access to the more than 370 Take Care Clinics located at select Walgreens stores in 19 states and...