Author: Scott Welch
Managers of Covered California say participating health plans will be encouraging off-exchange enrollees who qualify for exchange subsidies to switch to exchange coverage.
Issuers of stand-alone Medicare Part D prescription drug plans may pay much higher minimum sales compensation levels in 2020.
Millions of older adults can start signing up next week for private policies offering Medicare drug and medical coverage for 2020. But many risk wasting money and even jeopardizing their health care due to changes in Medicare’s plan finder, its most popular website.
Sylvia Valenzuela was in bed for two months early in her pregnancy because of severe nausea and vomiting caused by a rare condition. At a time when she desperately needed ongoing medical care, the Fresno resident says she suddenly lost her Medi-Cal coverage through no fault of her own.
The Food and Drug Administration recently announced an action plan for allowing prescription drugs to be imported from Canada and other countries. However, employer plan sponsors and plan administrators must heed caution at this time as this is just the announcement that proposed rules are coming.
In late September, the California state senate approved a bill, AB-744, that if passed would result in telehealth being reimbursed at the same rate as an in-person doctor's visit. The bill is expected to be signed by Governor Gavin Newsom, and could eventually have ripple effects that touch telehealth reimbursement across the country.
The estimated cost of waste in the U.S. healthcare system ranges from $760 billion to $935 billion, or about 25% of the total healthcare spending, according to a report in JAMA issued Monday.
California’s longest-running single-issue political battle, over limits on damages in medical malpractice lawsuits, is about to heat up again.
As the executive director of the Silver State Health Insurance Exchange, Nevada’s state agency that helps connect Nevadans to budget-appropriate health coverage through the online marketplace, Nevada Health Link, I am familiar with the inner workings of state and federal health care systems.
The Nevada Division of Insurance has posted the approved 2020 health insurance rates for all plans in the Individual Health Insurance Market at healthrates.doi.nv.gov and encourages consumers to review this information before the Open Enrollment Period begins.