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Republicans supporting the suit filed by attorneys general in a federal court in Texas say they will find other ways to protect consumers with medical problems but they haven’t shown yet how they would do that. News outlets also look at premiums that have been announced for 2019 plans and the administration’s efforts to reshape Medicaid.
Democrats are likely to highlight the case as Republicans trying to eliminate popular provisions, like protections for preexisting conditions.
Oscar’s focus is on health plans and helping consumers pick out the right coverage for them. The company announced that the investment will help it expand into Medicare Advantage space in the coming years.
But Paul Scott, who worked as the NFL’s benefit plan point person, wants to change that. He’s hoping to help former players through the application process to get the disability benefits they’ve earned. Meanwhile, experts find fault in the way the University of Maryland treated football player Jordan McNair when he suffered from heatstroke, which led to his death.
Billionaire Carl Icahn had called the deal a “$60 billion folly,” but is now walking back his opposition in light of recommendations from Institutional Shareholder Services and Glass Lewis. The latter called the insurer’s offer for the pharmacy benefits manager “both strategically and financially compelling, structured in a reasonable manner from a valuation standpoint for Cigna shareholders.”
When patients go to an in-network facility, they can still be treated by an out-of-network medical professional–anesthesia or pathology claims being among the most common.
The ruling means UnitedHealthcare may have to to transfer millions of dollars to New York insurers that enrolled high-cost members in their plans in 2017. News on the health law comes out of Virginia, as well.
Industry players who usually don’t work together are bonding over the potential push for a single-payer system, which has become a litmus test among progressive Democrats.
The Mar-a-Lago group is led by the reclusive chairman of Marvel Entertainment, Isaac Perlmutter, 75, a longtime friend of Mr. Trump’s and a member of his West Palm Beach golf club. Veterans advocates are worried that the group is going to exert pressure on new VA Secretary Robert Wilkie.
“These policies are substandard, don’t cover essential health benefits, and consumers at a minimum don’t understand [what they’re buying], and at worse are misled,” California Insurance Commissioner Dave Jones said. Health law news comes out of Tennessee, as well.
The judge blocked Kentucky’s attempt to add work requirements to its Medicaid program because officials had failed to consider the estimate that it would cause 95,000 low-income people to lose coverage. Now, Trump administration officials say that if they provide a fuller record showing that they considered the evidence that they’ll be able to move forward.
Experts are most worried about the way the rule, which would expand the definition of “public charge,” will affect children’s health. The proposal is set to include: children’s health insurance; Supplemental Nutritional Assistance Plan (SNAP, formerly known as food stamps); Supplemental Nutritional Program for Women, Infants and Children, known as WIC; tax credits for low- to moderate-income families; and housing and transit subsidies.
The Federal government hasn’t approved the transition, but the state expects the waiver to get a green light. Medicaid news comes out of Texas, as well.
Following a recent analysis of the cost of the program, questions arise about how the government would pay for a “Medicare For All” system. But New York congressional candidate Alexandria Ocasio-Cortez (D) says it’s not an impossibility. The single-payer issue also makes campaign waves in Ohio.
Accountable care organizations were set up under the Affordable Care Act with the intention of improving quality and efficiency. But government data shows that they’ve fallen short of the savings that were projected. “After six years of experience, the time has come to put real ‘accountability’ in Accountable Care Organizations,” CMS Administrator Seema Verma said in a statement. “Medicare cannot afford to support programs with weak incentives that do not deliver value.”
The Associated Press fact checks Sen. Bernie Sanders’ (I-Vt.) spin on the report that analyzed the cost of the senator’s “Medicare For All” plan, which is gaining steam in the progressive wing of the Democratic Party.
Some worry that the spending weight that the subsidies place on the government is not sustainable, but few have any hope for fixes to the system as the law remains a political hot spot.
“Drug manufacturers want you to believe that increasing drug prices are a result of them happy to pay rebates and that PBMs are retaining these rebates. And this is simply not true,” said Larry Merlo, the CEO of CVS, which owns Caremark, one of the biggest pharmacy-benefit managers. Meanwhile, the American Medical Association speaks out against CVS’ attempts to acquire insurer Aetna. And Rite Aid and Albertsons call off their merger.
Carl Icahn is urging fellow shareholders to vote against the deal between the health insurer and the pharmacy-benefits firm.
State insurance regulators are also concerned that the Labor Department won’t provide guidance on how much regulatory authority the states have. In other health law news: a lawmaker wants details about information on Medicare that was removed from a website; proposed rates continue to come out of states; and the Connecticut insurance commissioners is asked to ban short-term health coverage.