Consumers With COBRA Coverage Should Weigh Moving To Health Law Plans

As the open enrollment season for employer-sponsored health insurance gets underway this fall, experts say there’s one group that should definitely consider changing plans: people who have coverage through their former employer under the federal law known as COBRA. COBRA allows people who leave their jobs to keep their job-based group coverage for 18 months, ...

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White House Sought Safeguards to Reduce ObamaCare Fraud

The White House is calling for a “more aggressive strategy” to reduce improper payments made by Medicare and the Affordable Care Act (ACA), according to a letter made public to the Department of Health and Human Services (HHS). The Center for Public Integrity obtained the February letter — written by Office of Management and Budget Director Shaun ...

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In Boston Speech, Obama Unveils Executive Order for More Paid Sick Leave

BOSTON — President Obama rallied union workers here Monday, unveiling a new executive order that will require federal contractors to offer employees up to seven days of paid sick leave, a move he sought to contrast with Republican economic policies. Obama announced the new directive, which the White House said could benefit more than 300,000 ...

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New Medicare Advantage Pilot To Test Value-Based Insurance Design

On Tuesday, the Center for Medicare and Medicaid Innovation at CMS announced a new pilot program that will allow Medicare Advantage insurers to lower beneficiaries’ out-of-pocket costs as a way to encourage them to use high-quality services and potentially reduce overall costs in the long term, Modern Healthcare reports. The five-year program begins Jan. 1, ...

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What Medicare’s Value-Based Insurance Test Could Mean for Commercial Plans

A new test within the Medicare Advantage program will lower out-of-pocket costs for chronically ill patients who seek high-value services and providers. Supporters hope the project will lead to changes in federal law and become a template for all health plans with sizable cost-sharing, which have become the standard offering from employers and insurers. But ...

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California Passes Bill Delaying Transfer of Fragile Kids Into Managed Care

California legislators passed a bill postponing a controversial plan that would have shifted tens of thousands of medically fragile children into Medi-Cal managed care plans. The bill, AB 187, passed both houses Thursday and will be sent to Gov. Jerry Brown for his signature. At issue was the fate of the California Children’s Services program, ...

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Health Plans Come Out Against Tax Bills

California’s largest health plan group this week declared its opposition to both of the healthcare special session bills that would impose new taxes on managed-care organizations, the latest sign that a replacement for a soon-to-expire health plan tax is unlikely to emerge before lawmakers adjourn next week. Health plan taxation is the focus of the ...

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Doctor’s Association Sees Harm in Insurance Mergers

WASHINGTON — Doctors and hospitals are stepping up their criticism of proposed health insurance company mergers. In a new study to be released on Tuesday, the American Medical Association says that most insurance markets in the United States are dominated by a few companies and would become even more concentrated with a plan by Anthem ...

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Aetna CEO Got Summer’s First Merger Agreement, Raised Minimum Wage and More

WASHINGTON — The CEO who pulled off the first major insurance company merger agreement of the summer also achieved what many executives might think impossible: He raised his company’s minimum wage, announced plans to up its contribution to workers’ health care and watched the stock soar by nearly 30% since January. But Aetna’s Mark Bertolini is used ...

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Democrat Drops Covered California Waiver for Immigrants

SACRAMENTO, Calif. (AP) – A Democratic state lawmaker on Friday dropped his effort to allow people who are in the country illegally to buy private insurance through the state’s health insurance marketplace. Sen. Ricardo Lara, D-Bell Gardens, removed language seeking a federal waiver that would allow immigrants to purchase unsubsidized coverage through Covered California. His ...

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