Author: Scott Welch
Managers of the Affordable Care Act public exchange system want HealthCare.gov and the state-based exchanges to tighten up. The Centers for Medicaid and Medicaid Services, the federal agency that oversees the ACA exchange system, hopes to make all ACA public exchanges start their annual open enrollment periods Nov. 1 and end the open enrollment periods ...
The insurance industry relies on a steady flow of publicly available data to predict losses, price policies, and mitigate financial exposure. What happens when those data streams dry up? We’re on the verge of finding out. Recent governmental workforce reductions, agency closures and “streamlining” initiatives fostered by President Donald Trump, his unelected advisor, Elon Musk, ...
Blue Shield of California CEO Lois Quam is stepping down after two months on the job. The nonprofit health plan will begin a search for a permanent CEO and has appointed CFO Mike Stuart as interim president and CEO, according to a March 11 news release. Mr. Stuart was appointed Blue Shield’s CFO in 2022 and previously ...
Two companies have agreed to a $1.3 million settlement after they were accused of selling “sham” health insurance plans, the California Department of Justice said. According to the CA DOJ, Sedera, Inc. and Sedera Medical Cost Sharing Community, LLC (SMC) billed customers monthly in exchange for the payment of medical services, a plan which they ...
Dr. Mehmet Oz, President Donald Trump’s pick to oversee Medicare, Medicaid and Obamacare, told senators a combination of investments, technology, and regulatory changes could both bring down costs and make America healthy again. “We have a generational opportunity to fix our health care system and help people stay healthy for longer,” Oz told senators on ...
The Consolidated Appropriations Act (CAA) of 2021 introduced a complex set of transparency-related compliance requirements for health plans, insurance issuers, agents, and providers – all designed to improve clarity and accountability in health care. One of the CAA’s key transparency initiatives is the annual Rx Data Collection (RxDC) reporting requirement, which mandates that health plans and ...
The first time my improv teacher called me up to act out a scene, my throat clenched and my vision briefly went dim. The thought of performing in front of other people, especially in a way that was meant to be silly, sent my anxiety into the stratosphere. I had signed up for improv to ...
The White House on Tuesday asserted President Trump would not cut Social Security or Medicare after tech billionaire Elon Musk’s comments about the need to examine entitlement spending gained traction. Musk, a top Trump adviser leading the effort to overhaul the federal workforce through the Department of Government Efficiency, appeared on Fox Business Network on Monday for a rare television interview, where he noted that most ...
Colorectal cancer is the second-leading cause of cancer death in the United States, but the good news is that it’s also one of the most preventable. The key? Regular screenings. “March is Colorectal Cancer Awareness Month — the perfect time to take control of your health and make sure you’re up to date on your screenings,” said ...
The Trump administration issued its first major set of proposed changes to the Affordable Care Act on Monday that federal officials said are intended to crack down on fraud in the program. Policy experts said they will make it harder for consumers to sign up for coverage, potentially reducing enrollment.