Small Group Annual Special Open Enrollment Window: Nov. 15 – Dec. 15

The Affordable Care Act (ACA) requires medical health insurers to offer a one-month Special Open Enrollment Window (SOEW), when eligible Small Group employers can enroll in medical coverage without having to meet standard employer-contribution and/or employee-participation ratios.

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Walmart Selects Transcarent To Provide Go-to-Market Solution for Self-Insured Employers

Walmart and Transcarent will work together to make it easy for clients and members to access Walmart services and Walmart’s everyday low-cost pricing

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Hygienists Brace for Pitched Battles With Dentists in Fights Over Practice Laws

This year, the Illinois legislature was considering measures to expand oral health treatment in a state where millions of people live in dental care deserts. But when the Illinois State Dental Society met with key lawmakers virtually for its annual lobbying day in the spring, the proposals to allow dental hygienists to clean the teeth of ...

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Health Insurance Stocks Surge In 2020-2021

There are many theories about what is (and what is not) a good indicator of a stock’s future growth (or decline). However, it is important to note that investment articles – for good reason – usually include an advisory about past performance not being a recommendation or guarantee of any future outcome or profit. Investing is a ...

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Amazon Dominates Lobbying While Growing Telehealth Group

Telehealth legislation is ramping up on the congressional floor, and Amazon is spending big on its telehealth investments and lobbying. Telehealth became a necessity in the early days of the COVID-19 pandemic and spending on health services surged. Due to the historic amount of congressional legislation focused on health care services because of the pandemic, ...

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Mayo Clinic, Kaiser Permanente Recruit 11 Health System Partners For New Hospital-At-Home Advocacy Coalition

Following up on their big-ticket strategic investment into at-home acute care company Medically Home, Mayo Clinic and Kaiser Permanente are headlining a new advocacy movement backed by nearly a dozen other health systems from across the country. Called the Advanced Care at Home Coalition, the partners are joining their voices to convince Capitol Hill to extend ...

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Insurance Focused on Virtual Visits? The Pros and Cons of a New Twist in Health Plans

At the height of the covid-19 pandemic, people often relied on telemedicine for doctor visits. Now, insurers are betting that some patients liked it enough to embrace new types of health coverage that encourages video visits — or outright insists on them. Priority Health in Michigan, for example, offers coverage requiring online visits first for ...

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Scrutiny Of Risk Adjustment Practices Looms Over Medicare Advantage As Open Enrollment Starts

Medicare open enrollment kicked off Friday with more Medicare Advantage plans to choose from but with renewed criticism that insurers are gaming risk adjustment practices to inflate profits. While more and more insurers are expanding their presence in the MA marketplace, private Medicare plans are facing heightened scrutiny over risk adjustment and comprehensive diagnostic coding. ...

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No Plans To Require Proof Of Vaccination In Nevada, Sisolak Says

One day after Los Angeles approved a requirement for proof of full vaccination to enter restaurants and other indoor venues in that city, Gov. Steve Sisolak said he did not envision a similar requirement in Nevada. “I am not anticipating any more mandates, as you’re talking about in L.A.,” Sisolak said on Thursday. “I want ...

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Making Enhanced ACA Subsidies Permanent Could Extend Coverage To Nearly 1M

Nearly 1 million uninsured children and parents could get insurance coverage if temporary, enhanced income-based subsidies on the Affordable Care Act’s exchanges would be made permanent, new data show.

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