Burwell Says It’s Up To States, Congress To Help Consumers If Court Strikes Down Subsidies

It will be up to state officials and Congress to help consumers who can’t afford health insurance if the Supreme Court strikes down health law subsidies for millions of Americans, Health and Human Services Secretary Sylvia Burwell said Wednesday. “The critical decisions will sit with the Congress and states and governors to determine if those ...

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Payroll Giant ADP Sues Tech Startup Zenefits

An increasingly public battle between payroll giant ADP and Silicon Valley start-up Zenefits has taken a legal turn, with ADP suing Zenefits for defamation and the “intentional interference with prospective economic relations.” Zenefits, which Forbes listed as one of the “Hottest Startups of 2014,” offers HR services — such as payroll, onboarding and insurance processing ...

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Nevada Considers Transitioning to Healthcare.gov

The clock is ticking for various state legislatures that are pondering a change in the way their residents enroll in public health insurance exchanges ahead of the widely anticipated June ruling in King v. Burwell on whether federal subsidies will be scrapped in 34 states that rely on Healthcare.gov for signups. One such example is a joint ...

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New Preventive Health Services Approved For No-Cost Coverage

The list continued to grow of preventive services that people are entitled to receive without paying anything out of pocket. In 2014, the U.S. Preventive Services Task Force recommended two new services and tweaked a handful of others that had previously been recommended. Under the health law, preventive care that receives an “A” or “B” ...

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Bill Adds Pregnancy as Insurance-Eligible Life Event

California lawmakers are advancing legislation to add pregnancy to the list of so-called ‘life-qualifying events’ allowing people to buy health insurance outside the regular open enrollment period. U.S. Sens. Barbara Boxer and Dianne Feinstein of California have urged the state to adopt the measure, and advocates are pressuring federal health authorities to do the same. ...

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Health Chief: ObamaCare Premium Hikes Will Drop

Secretary of Health and Human Services Sylvia Mathews Burwell argued Thursday that premium hikes floated by health insurance companies this week will likely end up being lower once they are finalized. Republicans have seized on the higher rates to attack the healthcare law. Tennessee’s biggest insurer has proposed an increase of 36 percent for some ...

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Stakeholders Say ACO Final Rule Fails To Address Some Concerns

Some health care organizations might opt to leave the accountable care organization program because CMS did not address some of their concerns in its latest rules update, Modern Healthcare reports (Dickson, Modern Healthcare, 6/5). New Final Rule Details CMS on Thursday issued a final rule for the Medicare Shared Savings Program that seeks to keep ...

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Blue Shield’s Proposed Acquisition of Care1st Faces Tough Scrutiny

A top California regulator vowed a “deep dive” into a $1.2-billion acquisition proposed by Blue Shield of California amid criticism that the nonprofit insurer is shortchanging the public. Shelley Rouillard, director of the state Department of Managed Health Care, signaled tough scrutiny ahead for Blue Shield’s proposed purchase of Medicaid insurer Care1st Health Plan at ...

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Three Major Systems Join San Diego Health Connect, Giving HIE Big Boost

With the addition of San Diego’s three largest health systems, more than one million patients soon will have the opportunity to participate in the region’s health information exchange, San Diego Health Connect. The community-wide HIE allows patient medical records to be shared among the region’s competing health care providers, large and small. Scripps Health, Sharp ...

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Covered California Website Fail Its Disabled Residents

California businesses have for years complained about lawsuits related to the Americans with Disabilities Act, where plaintiffs visit their stores or restaurants and then demand financial damages after finding oftentimes technical violations of the accessibility rules. At one point last year, 20-some businesses in thedowntown area of one northern California city were hit with such ...

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