Industry Updates
This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.
Democratic legislators are advancing a bill that aims to provide free health care to low-income undocumented seniors — an idea that they floated earlier this year, but which failed to make it into the state budget because of concerns over its cost.
Despite 52 amendments added to the legislation just last week, the California Senate voted 21-19 on Sept. 9 to accept the changes and approve A.B. 290, a bill aimed at restricting dialysis provider profits in the state and limiting the use of third-party payers, like the American Kidney Fund.
In the battle over what Congress should do to end surprise medical bills, both sides of the debate are pointing to California's experience—and drawing different conclusions. A law enacted in September 2016 put a cap on out-of-network charges, tied either to the median in-network contracted rates with insurers or 125% of Medicare—whichever is higher.
Eight months ago, Gov. Gavin Newsom released a plan to lower the state’s prescription drug costs. The central idea: By consolidating the market power of state agencies into one statewide pool, California could gain greater leverage to negotiate with drugmakers.
Looking back on my own fight with addiction, I now know that what I needed was long-term, qualified and safe care. A professional setting to be housed, receive medical care, and access peer support. However, too many patients fall prey to treatment facilities that are more interested in bilking insurance companies than in providing the support they need to enter and sustain long-term recovery.
One day after her 80-year-old mother started hospice care at home last August, Tracy Sellers found herself racing into an emergency room, pushing a wheelchair carrying her mother.
In May, the California State Assembly overwhelmingly passed a bill set to have a major impact on how companies classify their workers in the state. Assembly Bill 5 (AB 5) aims to codify the new standard expounded by Dynamex Operations West, Inc. v. Superior Court of Los Angeles for determining whether workers regulated by the 17 Wage Orders in California are employees or independent contractors.
California legislation to prevent surprise billing did not result in a reduction of in-network doctors, a new study from the top insurer group found. After California passed its surprise billing law in 2016—under which doctors are paid either the physician’s average contracted rate (ACR) or 125% of the Medicare reimbursement rate—officials at America's Health Insurance Plans (AHIP) found the number of in-network doctors increased by 16%.
The head of the nation’s health insurance lobby on Wednesday said he does not see much difference between “Medicare for All,” which is being championed by progressive Democratic presidential candidates, and the public option pushed by former Vice President Joe Biden.
More Americans who rely on the Affordable Care Act's exchanges for health insurance coverage are keeping their plans longer throughout the year, which raises questions about what's fueling that trend.