Providence Closes 27 Retail Clinics In Southern California

Dive Brief: * Providence said it has closed all 27 of its retail clinics in Southern California, citing macroeconomic pressures and lower patient volumes than anticipated. The clinics closed to patient care Thursday. * “The national healthcare labor shortage, inflation, global supply chain disruptions, lower than budgeted volumes, and a highly competitive retail health industry ...

Read More

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors, with some plans overbilling the government more than $1,000 per patient a year on average. Summaries of the 90 audits, which examined billings from 2011 through 2013 and are the most recent reviews completed, were obtained ...

Read More

New Law Requires Licensees to Include Their License Number on Emails

Starting January 1, 2023, a new law will require most types of insurance producers, as well as independent insurance adjusters, public insurance adjusters, and analysts, to include their license number on emails.

Read More

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.

Read More

U.S. COVID Public Health Emergency To Stay In Place

The United States will keep in place the public health emergency status of the COVID-19 pandemic, allowing millions of Americans to still receive free tests, vaccines and treatments, two Biden administration officials said on Friday.

Read More

California Voters Approve Ban On Sale Of Flavored Tobacco Products

California voters passed a ballot measure to uphold a 2020 law that banned the sale of most flavored tobacco products, giving anti-tobacco advocates an expected victory in a multiyear fight against the industry to mitigate a youth vaping crisis.

Read More

Medicare Plan Finder Likely Won’t Note New $35 Cap on Out-of-Pocket Insulin Costs

Congress approved in August a $35 cap on what seniors will pay for insulin as part of the Inflation Reduction Act, along with free vaccines and other Medicare improvements. But the change came too late to add to the Medicare plan finder, the online tool that helps beneficiaries sort through dozens of drug and medical plans for the best bargain.

Read More

Hospital Groups Tell Lawmakers Looming Medicare Cuts 'Not Sustainable' As Officials Come Back

As Congress returns this week from a nearly monthlong recess, a collection of hospital groups is making sure resolution of a looming 4% cut to Medicare payments doesn’t slip through the cracks. The groups, led by the American Hospital Association and the Federation of American Hospitals, wrote to congressional leadership Monday calling for a waiver ...

Read More

California Stockpiles Penalties From Uninsured Residents Instead of Lowering Care Costs

Nearly three years after California started fining residents who don’t have health insurance, the state has not distributed any of the revenue it has collected, KHN has learned — money that was intended to help Californians struggling to pay for coverage. And so far, the majority of Californians paying the tax penalty for not having insurance are ...

Read More

California Expected To Partner With Nonprofit Civica Rx To Produce Its Own Low-Cost Insulin, Sources Say

California plans to partner with Civica Rx, a nonprofit generic drug company, in the state’s effort to produce its own low-cost insulin, according to two people familiar with the matter. Gov. Gavin Newsom announced in July that he had approved a budget that would allocate $100 million to allow the state to begin making its own insulin. ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square