Author: Scott Welch
Cigna and Oscar Health have announced they will exit the Small Group market in California and other states as of December 15, 2024. Cigna + Oscar exited the Covered California Affordable Care Act marketplace in 2023. Current groups with Cigna + Oscar coverage will be allowed to renew early (for coverage effective 12/1/2024) if they ...
Sutter Health was absolved this week from a California whistleblower lawsuit alleging the nonprofit system owed $519 million for double-billing patients. After a seven-week trial, Alameda County Superior Court Judge Stephen Kaus ruled Monday retired surgeon Dr. Gregory Duncan and patient Gary Hulbert failed to show that Sutter’s billing practices for surgical patients were fraudulent. Duncan and ...
The U.S. Supreme Court on Monday declined to hear a challenge to a $2.7 billion nationwide class action settlement with Blue Cross Blue Shield over allegations that the insurance giant overcharged commercial and individual subscribers for years. The justices without comment denied a petition from home improvement retailer Home Depot objecting to the landmark antitrust ...
(Editor’s Note: the KFF Health story identified California as having in excess of $500 million in Deloitte Medicaid contracts) Deloitte, a global consultancy that reported revenue last year of $65 billion, pulls in billions of dollars from states and the federal government for supplying technology it says will modernize Medicaid. The company promotes itself as the industry ...
Insured patients are often better off buying their generic prescriptions through their health insurance benefits than through Mark Cuban Cost Plus Drug Company, though those without insurance could find cost savings in over a quarter of their pharmacy fills, according to a study published Friday in JAMA Health Forum. Across a sample of nearly 844 ...
Starting your day with a nutritious and filling breakfast is vital for maintaining energy levels and focus until lunch. Many Americans turn to eggs for their first meal of the day for ease, affordability and taste. “Eggs are a popular choice due to their versatility and high-protein content, but not all egg breakfasts are created equal,” said Annelise ...
Nevada's marketplace insurance program wants people who no longer qualify for Medicaid or the Children's Health Insurance Program to know it has extended its special enrollment period through the end of November.
Since Nevada Medicaid resumed eligibility checks for beneficiaries in June of last year, only an average of 5 percent of Nevadans deemed ineligible for the publicly funded insurance program each month have managed to enroll in a plan through the state’s health insurance exchange.
The percentage of Americans who lack health insurance, which currently hovers around 7.2%, is projected to rise steadily through the years, hitting 8.9% by 2034, according to the latest data presented by the Congressional Budget Office.
CBO analysts reported last week that the new version of the Affordable Prescriptions for Patients Act bill could cut spending by $2.4 billion over the period from 2024 through 2034 and increase federal revenue by $585 million over that same period.