Month: June 2015
WASHINGTON — The government relies too heavily on advice from the American Medical Association in deciding how much to pay doctors under Medicare, and the decisions may be biased because the doctors have potential conflicts of interest, federal investigators say in a new report. This reliance on the association, combined with flaws in data collected by the ...
Employer groups and insurers are pushing to keep businesses with 51 to 100 workers exempt from a provision of the federal health law that they say could significantly increase their costs. For these midsize employers, the Affordable Care Act’s requirements for what health plans must cover—and how they are priced—are set to take effect on ...
Experts are warning that state Medicaid agencies struggling with budget issues could have a difficult time managing the Obama administration’s newly proposed Medicaid managed care rule,Modern Healthcare reports (Dickson, Modern Healthcare, 5/27). Background CMS on Tuesday released the proposed rule, which aims to create more standardized practices across states and align managed care standards with ...
On Monday, CMS publicly released new online data that reveal hospitals’ Medicare charges and payments, as well as what doctors billed, in 2013, Modern Healthcare reports (Herman, Modern Healthcare, 6/1). Background The data were unveiled at the Health Datapalooza conference in Washington, D.C. (CMS release, 6/1). It is the third straight year that Medicare has ...
Dozens of health insurers say higher-than-expected care costs and other expenses blindsided them this year, and they’re going to have to hike premiums for individual policies well-beyond 10 percent for 2016. The proposed double-digit hikes would apply to plans sold on the health insurance exchanges created under President Barack Obama’s law, as well as individual ...
On Thursday, California lawmakers advanced measures related to childhood vaccine requirements, the state’s prescription drug database and physician-assisted suicide. However, legislators also shelved several health-related measures. The decisions come ahead of a June 5 deadline for bills to be approved by at least one body of the state Legislature. Childhood Vaccine Bill A bill (SB ...
Sometimes, paying more upfront can cost less in the long run. That has been the case for a collaborative effort of the state’s largest for-profit health insurance company and a handful of doctor groups that worked to coordinate the care of 200,000 patients with multiple chronic conditions. Today, Anthem Blue Cross of California is announcing ...
A proposal to expand health care to Californians in the country illegally cleared the Senate on Tuesday, passing on a 28-11 vote and heading to the Assembly. Senate Bill 4 would allow undocumented immigrants to purchase health insurance on the state exchange, pending a federal waiver, and enroll eligible children under the age of 19 ...
A new survey shows that 44% of Covered California policyholders find it difficult paying their monthly premiums for Obamacare coverage. And a similar percentage of uninsured Californians say the high cost of coverage is the main reason they go without health insurance. The issue of just how much people can afford will loom large as ...