Oscar Health Execs Weigh In On Future Of ACA Subsidies, Signal 2024 Profitability

Enrollment in individual market plans continues to grow, with a record high of 21.3 million people signing up for plans during the most recent open enrollment period. Much of that, however, is due to expanded premium subsidies, which launched during the pandemic and were extended through 2025. Officials at Oscar Health, which has reaped the ...

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Alleged Medical Supply Scam Could Cost Medicare $2 Billion

Patients have been reporting mysterious claims to Medicare for months of catheters they never ordered or received, which led to a massive spike in billing the accounts of more than 450,000 Medicare beneficiaries in 2023.

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‘Behind the Times’: Washington Tries to Catch Up With AI’s Use in Health Care

Lawmakers and regulators in Washington are starting to puzzle over how to regulate artificial intelligence in health care — and the AI industry thinks there’s a good chance they’ll mess it up. “It’s an incredibly daunting problem,” said Bob Wachter, the chair of the Department of Medicine at the University of California-San Francisco. “There’s a ...

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6 Surprisingly Simple Ways To Keep Yourself Healthy (Hint: Sleep Is Involved)

More than a month into the New Year of 2024, those who haven’t yet made progress on their health and weight-loss resolutions may be feeling a little discouraged. But experts agree that the number on the scale shouldn’t be the only way to measure a “win.” Weight alone doesn’t paint a complete picture of a person’s ...

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U.S. Drug Prices Are 278% Higher Than Other Developed Countries

It is not news that prices paid for prescription drug are higher in the U.S. than prices paid in other developed countries. But a RAND analysis published today shows that difference is growing and remains.

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Most Adults Have No Idea What They Should Expect To Pay For Health Care

Fewer than 1 in 5 adults (17%) say they know how much health care products or services will cost in advance, according to new Gallup polling with Bentley University.

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U.S. Makes Initial Offers in Medicare Drug Price Negotiations

The Biden administration announced on Thursday that it was sending initial offers to the makers of the first 10 prescription drugs that have been selected for price negotiations with Medicare under a landmark federal program intended to reduce drug spending.

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Covered California Individual Open Enrollment Deadline Extended: What To Know

Californians aiming to sign up for health insurance through the state’s Covered California marketplace have a little extra time, with the open enrollment deadline extended until Friday, officials said.

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Facing The Future: Health Insurance And Health Care 2024 Trends

Health insurance and health care industry analysts don’t all agree. But there is some consensus about a few “hot topics” likely to impact brokers and your clients in 2024. Let’s take a look at five. Rising Health Insurance Premiums As we reported last fall, U.S. employers are expected to see a larger increase in premiums ...

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No Surprises Act Shielded Patients From 10M Surprise Bills

Patients were protected from more than 10 million surprise medical bills thanks to reforms in the No Surprises Act, according to a new survey. The analysis, backed AHIP and the Blue Cross Blue Shield Association, found that nearly 80% of claims disputed under the law were resolved before reaching the independent dispute resolution (IDR) stage, a ...

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