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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.

Covered California Glitch: Dropping Coverage for Pregnant Woman

Rep. Ami Bera and 15 members of the California delegation are pushing the heads of California Health and Human Services and the California Health Benefit Exchange in a letter to address a computer glitch that is terminating Covered California Care for pregnant women.

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Health Plan of Nevada Staying in Silver State; Enrollment Begins Nov. 1

Health Plan of Nevada, a UnitedHealthCare company, is gearing up for the next open enrollment period after reports of it leaving several states.

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State Exchange First to Set Quality, Cost Standards for Health Plans

Covered California, the state’s health insurance marketplace, is the first Affordable Care Act (ACA) health exchange to impose quality and cost standards on health plans and providers.

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More Exchange Plans Offer Patients Easier Access To Some Expensive Drugs

Some people with cancer, HIV and multiple sclerosis have better access to high-cost specialty drugs in marketplace plans this year, yet a significant proportion of these plans still place many expensive drugs in cost-sharing categories that require the highest patient out-of-pocket costs, according to a new analysis.

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Will Covered California Sell Health Coverage To The Undocumented?

California legislators are attempting to clear the way for undocumented immigrants to buy health insurance through the state’s insurance exchange — potentially setting a national precedent.

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More Customers Dumped From Covered California Without Notice

Lynn Kersey has some advice for pregnant women who bought health insurance policies from Covered California and want to keep them: Don’t report your pregnancy to the agency.

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California Health-System Blunders Give Couple a Huge Tax Headache

What happens when you mix health care and taxes — the two most complicated systems in the nation? When things go wrong, you can end up with something exponentially more complex.

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Covered California Acts to Ensure Everyone Gets a Primary Care Doctor

The policy shift is in the agency's new contract with insurers, approved by the Covered California board last week. It will affect preferred provider network plans - PPOs - in particular. A consumer favorite, PPO plans allow members to go to any doctor – specialist or otherwise – without a referral from a primary care physician.

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California Effort is Underway to Allow Undocumented Immigrants to Buy Healthcare Coverage

California would be the first state in the nation to ask the federal government to allow immigrants in the country illegally to purchase health insurance through a state exchange under new proposed legislation.

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Pharmacy Students Volunteer to Answer Callers’ Medicare Questions

Pharmacy students at Roseman University are volunteering to help Nevada’s Medicare population learn more about their insurance coverage, and a new grant is expected to boost their efforts.

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