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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.

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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What’s California’s Prescription for Rising Drug Cost?

In a small room at a neighborhood clinic in Sacramento, a handful of hepatitis C patients wait to see their physician, hoping they’ll be found sick enough to be approved for a cure.

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Undocumented Could Be Allowed To Buy Covered California Health Policy

In a move called both symbolic and practical, the Covered California board took the first step Thursday toward allowing undocumented residents to purchase health plans – with no state or federal subsidies – through California’s Obamacare marketplace.

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Covered California Imposes New Quality, Cost Conditions On Plans

Moving into a realm usually reserved for health care regulators, Covered California Thursday unveiled sweeping reforms to its contracts with insurers, seeking to improve the quality of care, curb its cost and increase transparency for consumers.

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