IRS’ 2024 ‘Affordable’ Health Plan Threshold: Employers May Need To Lower Premiums

For employers that set their employee premium costs last year right at the ACA affordability threshold, their plans will no longer be affordable if they charge employees the same amount in 2024 as they did in 2023.

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Why Health Insurance Is Poised To Make Inflation Jump

Inflation is broadly retreating in the U.S. economy. But starting in October, health insurance is poised to act as a countervailing force that buoys inflation for about a year, economists said.

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Answers To Q4 Frequently Asked Questions

Throughout the year, especially during Q4, we know you are bound to have questions about Underwriting, Client Experience, Enrollment, and Compliance. That’s why we’ve compiled this list of the most frequently asked questions (FAQs) during peak season.

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Gavin Newsom’s Plan To Overhaul California’s Mental Health System Heading To Voters In March

California lawmakers endorsed Gov. Gavin Newsom’s latest plan to address the state’s worsening homeless crisis. Now, it’ll be up to voters.

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‘The Rule Has Sticks As Well’: Biden’s Getting Tough With Health Insurers

The administration says insurance companies are using loopholes to deny mental health care. Insurers say that’s not the case.

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Federal Court Hears First Oral Arguments In Legal Battle Over Medicare Negotiation

The Southern District Court of Ohio on Friday heard oral arguments from the federal government and the Chamber of Commerce in the latter’s lawsuit challenging the Medicare Drug Price Negotiation Program, with both sides rehashing long-held assertions. The Chamber has requested that the Medicare negotiation program be blocked from operating, with the organization asking for ...

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Health Programs Could Be Stranded By Government Shutdown

The threat of a government shutdown is hanging over Capitol Hill. But so is the realization that gridlock could claim an array of health programs that are due to sunset at the end of the month without congressional action. Who’s affected: Key health interests potentially have billions of dollars of funding on the line, from community ...

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Save Billions or Stick With Humira? Drug Brokers Steer Americans to the Costly Choice

Tennessee last year spent $48 million on a single drug, Humira — about $62,000 for each of the 775 patients who were covered by its employee health insurance program and receiving the treatment. So when nine Humira knockoffs, known as biosimilars, hit the market for as little as $995 a month, the opportunity for savings ...

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Apple A Day — And 4 Other Great Fall Food Choices That Are Healthy, Delicious And Fun

The fall festivals that lie ahead this year not only serve up festive fun — they also serve up some healthy and delicious dishes for everyone. Autumn is a wonderful time of year to take advantage of fresh produce that can provide essential vitamins and health benefits, medical experts advise. “Fall is a great time to ...

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As More Patients Email Doctors, Health Systems Start Charging Fees

Meg Bakewell, who has cancer and cancer-related heart disease, sometimes emails her primary care physician, oncologist, and cardiologist asking them for medical advice when she experiences urgent symptoms such as pain or shortness of breath. But she was a little surprised when, for the first time, she got a bill — a $13 copay — ...

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