Blue Shield of California Agrees To Limit Premiums, Recalculate Rebates

Blue Shield of California has agreed to limit its premiums for certain policies next year and in 2017, Payers & Providers reports. Background On Oct. 5, the California Department of Managed Health Careissued an order addressing Blue Shield’s premiums and medical loss ratio calculations. DMHC spokesperson Rodger Butler said the agency had “significant concerns with ...

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Little Growth Predicted on Health Exchanges

WASHINGTON — In a surprisingly pessimistic forecast, the Obama administration predicted on Thursday that health insurance enrollment on the Affordable Care Act’s public marketplaces will only inch up from current coverage levels by the end of 2016. After an elaborate analysis of demographic data, Sylvia Mathews Burwell, the secretary of health and human services, said ...

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Insurance Commissioner Slams Aetna’s Small-Business Rate Hike

California Insurance Commissioner Dave Jones slammed Aetna Thursday for an “unreasonable” quarterly rate hike on small-business owners that brings the annual average increase to more than 27 percent. The hike affects small employers that renew their health insurance policies in the fourth quarter — and an estimated 40,000 employees. Dept. of Insurance actuaries reviewed Aetna’s ...

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Private Health Exchange Has Options for Small Companies Affected by New Mandate

CaliforniaChoice is bullish on expansion of the small-group market. Like its public counterpart, Covered California, the private insurance exchange is prepared to welcome employers with 51 to 100 employees into the program Jan. 1, 2016. California law still requires this group to be considered “small employers” for the purpose of health insurance, starting next year. ...

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Medicare Rates Set to Soar

Congressional lawmakers so far have failed to agree on a way to stave off an unprecedented premium increase for millions of Medicare recipients for 2016. That is creating uncertainty for many seniors on Medicare Part B, which covers outpatient care such as doctor’s visits. About 30% of the roughly 52 million people enrolled in Part ...

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Jeb’s Obamacare Repeal-And-Replace Plan Is More Repeal Than Replace

Jeb Bush on Tuesday will introduce a plan to repeal and replace the Affordable Care Act. But “replace” may not be quite the right word. The Bush plan calls for a familiar mix of conservative ideas on health care, according to campaign documents obtained by The Huffington Post. It would eliminate the coverage scheme of “Obamacare” ...

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Pressure Building for Congress to Fix Projected Medicare Part B Premium Spike

­ Pressure building for Congress to fix projected Medicare Part B premium spike – Modern Healthcare Modern Healthcare business news, research, data and events <iframe src=”//www.googletagmanager.com/ns.html?id=GTM-7TS2″ height=”0″ width=”0″ style=”display:none;visibility:hidden”></iframe> Advocates for Medicare enrollees and state Medicaid offices say Congress needs to intervene to prevent an expected 52% spike in Medicare Part B premiums, preferably in ...

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Looming Tax On High-End Health Plans Draw Heavy Fire

About half of all American adults get health insurance through their employer, and beginning in 2018, the government will impose heavy financial penalties on any employer-provided health plans it deems overly generous. The tax was designed to rein in health care inflation and raise tens of billions of dollars. Former Sen. Jeff Bingaman, D-N.M., a ...

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Nevada Health CO-OP Broker Commissions On Hold

Insurance brokers who sold health plans through a failed nonprofit carrier will no longer be paid commissions. Nevada Health CO-OP has stopped commission payments effective immediately, according to a Friday notice from an attorney working on behalf of the Nevada Division of Insurance. “Preliminary review indicates that (Nevada Health CO-OP) is in hazardous financial condition,” ...

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Some Small Employers Remain in Limbo on Small-Group Definition

Although President Obama signed the Protecting Affordable Coverage for Employees (PACE) Act this week, many employers the legislation is intended to protect remain in limbo. The PACE Act nullifies the Affordable Care Act’s originally scheduled 2016 expansion of the threshold of “small group” for health insurance purposes from employers with 50 or fewer employees and ...

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