Implementation of the health law has renewed discussions of who wins, loses and gains access to health insurance. But questions persist. Here’s a corrective to common misconceptions about who pays for health care.
There’s a lot riding on these cost calculations for insurance companies, consumers and even the health law’s future.
UnitedHealth Group spent $100 million on hepatitis C drugs in the first three months of the year, much more than expected, the company said Thursday. The news helped drive down the biggest insurance company’s stock and underscores the challenge for all health care payers in covering Sovaldi, an expensive new pill for hepatitis C. “We’ve […]
Eleven years ago Bob Bennett, then a Republican senator from Utah, made a fiscal sales pitch for including prescription drugs in Medicare coverage for seniors. “Medicare says if you go to the hospital and run up a bill of however many tens of thousands of dollars to stay that many days, we will pay for […]
But insurers still contest the claim that rates will rise slightly after arriving at their own calculations of the originally proposed cuts.
In high-visibility ad campaigns, insurers maintain that reduced payment rates, which are expected to be announced Monday, will do real harm. What should beneficiaries expect?
The Obama administration keeps changing the rules on implementing the Affordable Care Act. Insurance companies keep complaining. But they’re unlikely to grouse about the latest adjustment. On Tuesday the Department of Health and Human Services signaled its intention to temporarily give insurers a break on the portion of premiums they must spend on medical care […]
A number of insurance companies have agreed to give an actuarial firm early information about enrollment and member health in the plans sold on the online marketplaces.
Big employers are pretty sure they’ll keep offering workers health care coverage. But they seem a lot less sure than they used to be, according to a survey released Thursday. Only one large company in four recently surveyed by Towers Watson and the National Business Group on Health is confident it will provide medical coverage […]
The Affordable Care Act’s nonprofit co-op health plans, which see themselves as the rebel alliance battling established insurers, have signed close to 300,000 members and are set to expand into three new states next year, officials say. Starting from zero in October, New York’s Health Republic Insurance has enrolled more than 50,000 policyholders, said John Morrison, who […]
Consumers who obtain insurance through the health law’s marketplaces will now have to figure out their plans’ specifics.
The administration pressed the pause button on part of the health law again. Here’s what the new timeline for the employer mandate means for businesses, workers — and for politicians.
While these plans represent one of the fastest growing components of the employer benefits marketplace, some experts warn they might cause consumer confusion.
Here’s more fodder for the debate over whether older, sicker members will swamp insurance plans created by the Affordable Care Act. Insurers have wondered whether enough younger, healthier “invincibles” would sign up through online exchanges to subsidize folks with poorer health. The worry was that, without their premiums, expenses for older folks would drive up average […]
The biggest player in the Affordable Care Act’s online insurance marketplaces delivered encouraging news to Obamacare supporters Wednesday. After weeks of uncertainty about how many people have been applying for coverage that started Jan. 1, their age spread and whether or not they’re paying premiums, WellPoint disclosed higher-than-expected early membership growth and said it expects to make […]
WellPoint Inc. and its Anthem Blue Cross plans made one of the biggest bets on selling insurance to individuals and families through the health law’s online exchanges. No regrets, CEO Joseph Swedish said Tuesday, despite the balky beginning. “Despite the near-term uncertainty, we believe exchanges will be growing as a big part of the market […]
Maryland hospitals have agreed to new spending limits and big changes in the way they are paid, creating what could be a national model.
A new study takes the closest look yet at the relationship between Medigap coverage and Medicare spending.
Definitive 2012 numbers show continued, historically low increases in medical prices and the use of medical services. Health spending rose 3.7 percent, up slightly from 2011 but far below the 8 percent increases of the early 2000s, according to figures released Monday by the Centers for Medicare & Medicaid Services. Health spending has grown faster than incomes and […]
Dr. Peter Beilenson may be the only health insurance CEO who picks up the phone when reporters call. So Kaiser Health News bothers him a lot. We caught up with the boss of Maryland’s Evergreen Health Co-op late last week to learn how one insurer moved from Obamacare theory to Obamacare practice. “They have their […]