A partir de un caso reportado por Kaiser Health News, expertos analizan la posibilidad de que una ley federal sea el comienzo para solucionar las tremendas cuentas sorpresa.
The wide-ranging law has the potential to blindside many consumers whose health care comes from company and union health plans that are “self-funded,” meaning they pay claims out of their own funds.
Some hospitals have taken steps to be more energy-efficient. Though at times these changes barely represent rounding errors in their budgets, comprehensive efforts are beginning to make a difference.
The opioid epidemic has increased the number of donated organs. Until recently, though, organs from donors who died of drug overdoses were often discarded because an estimated 30 percent of them were infected with hepatitis C.
En total, 547 farmacias (casi el 23% de las que envían la mayoría de las facturas a Medicare por hacer estas cremas) recibieron uno o más de las cinco alertas rojas establecidas por los investigadores.
Inspector general identifies possible problems in nearly 23 percent of pharmacies that bill Medicare for blended creams, gels and lotions.
Estos planes son más económicos pero su cobertura es mínima, y no cumplen con las protecciones establecidas por la Ley de Cuidado de Salud Asequible (ACA).
The administration says these plans, which can now last as long as 12 months and be renewed for two years, will give consumers another less-pricey insurance option. Critics say the new rule is yet another swipe at the Affordable Care Act.
As the opioid epidemic rages, a Johns Hopkins surgeon and researcher is leading an effort to curb overprescribing by offering procedure-specific guidelines to ensure that post-surgical patients leave the hospital with enough, but not too much, pain medication.
Other states are watching to see if controlling how much hospitals get paid can continue to hold down costs in “Big Sky Country.”
The Trump administration issued the final rule on association health plans, which supporters say will make coverage more affordable for some employees but led others to warn about “junk insurance.”
The Trump administration is arguing that since Congress is repealing the penalty for not having insurance, the federal health law’s protection for people who have illnesses is unconstitutional.
A provision of this massive legislation would provide funding to help agricultural groups set up association health plans — a longtime GOP-favored mechanism to reduce health insurance costs for small groups.
Self-management classes can help the tens of millions of Americans now diagnosed with Type 2 diabetes. But the education can come with a high price tag.
The federal Centers for Medicare & Medicaid Services advised the state that its plan to offer state-based insurance plans falls short of the Obamacare rules and could result in penalties for insurers.
Los planes de salud para empleados estatales fueron los pioneros en esta estrategia comercial: ofrecer incentivos en forma de efectivo o tarjetas de regalo, para que los consumidores los elijan para sus estudios médicos.
Incentives to encourage health care consumers to shop around gain momentum as a means to rein in spending.
Estos planes durarían doce meses. Son más accesibles, pero su cobertura es más limitada. Y pueden rechazar a personas con condiciones preexistentes.
The policy change is likely to entice younger and healthier people from the general insurance pool by allowing a range of lower-cost options that don’t include all the benefits required by the federal health law.
Focus turns to whether the Trump administration will challenge Idaho’s move to allow such plans to be sold to individuals.