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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.

California Among State With Biggest Drop In Uninsured

In a significant yardstick of how health care coverage has blanketed the country under the Affordable Care Act, California ranked among states recording the biggest drop – 4.7 percent – in uninsured residents from 2013 to 2014, according to U.S. Census Bureau data released Wednesday. The new data confirm California has seen “one of the ...

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CMS Will Enforce Rule on Individual Out-of-Pocket Spending Caps

On Tuesday, CMS said it will enforce the Affordable Care Act’s cap on annual out-of-pocket health care spending for individuals, regardless of whether consumers have an individual or family health plan, Modern Healthcare reports. Background In February, CMS released a wide-ranging final rule for the health insurance exchanges that finalized several consumer and insurer protections. ...

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Consumers Can Check Medical Prices, Quality Scores on New State Website

Lifting some of the secrecy surrounding California healthcare, state officials unveiled a website where consumers can look up average prices for common medical procedures — as well as quality scores for providers. California Insurance Commissioner Dave Jones, consumer advocates and researchers hailed the online tool launched Monday as the first step in prying more detailed ...

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Tough Going for Health Co-Ops

Late last month, the Nevada Health Co-op became the third casualty among 23 insurance start-ups created under the federal health care law to inject competition for coverage in certain parts of the country. Set up as nonprofits with consumer-led boards, the co-ops were designed to provide affordable insurance coverage to individuals and small businesses. They ...

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Nevada Won’t Reopen Health Care Enrollment Stores This Year

The Silver State Health Insurance Exchange will not operate brick-and-mortar enrollment stores during this year’s sign-up period for government-subsidized health insurance. “It wasn’t fiscally prudent to walk in that direction,” Bruce Gilbert, executive director of the exchange, told board members at a meeting Thursday. Last year, the exchange opened two enrollment stores — one in ...

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California Lawmakers Approve Bill Requiring Drug Labeling In 5 Foreign Languages

California’s pharmacists would be required to provide prescription drug labels or medication instructions in five languages besides English under a bill passed unanimously Thursday by California lawmakers. The bill, AB 1073, will be sent to Gov. Jerry Brown for his signature and would take effect Jan. 1 if signed into law. Upon request from patients ...

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California Senate Approves Workers’ Comp Gender Parity Legislation

On Tuesday, the California Senate voted 24-15 to approve a bill (AB 305) that would prohibit medical problems primarily affecting women from being considered pre-existing conditions when calculating workers’ compensation benefits, the AP/Washington Times reports. The bill now returns to the Assembly for a final vote. Details of AB 305 According to state Sen. Marty ...

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California Voters Sharply Disagree on Low-Cost Healthcare for Immigrants

California has adopted a series of laws in recent years to help people in the country illegally, and polls show broad support for a pathway to citizenship for the estimated 2 million such immigrants living in the state. But it’s a different story when it comes to providing them healthcare benefits. California voters are sharply ...

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CMS: California Has Highest Number of ACA Exchange Enrollees

California had the most health insurance exchange enrollees of any state, with about 1.4 million enrollees as of June 30, according to new federal data, The Hill reports (Sullivan, The Hill, 9/8). Details of Exchange Enrollees Overall, the data show about 9.9 million U.S. residents had selected and paid for health coverage through the federal ...

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What the Anthem-Cigna Mega-Merger Could Mean for California

By sheer number of covered lives, Kaiser Permanente has been California’s largest health insurer for decades. But if Anthem gets its way — no longer. The Indianapolis-based insurer is currently the second-largest health insurer in the Golden State, and one of the three largest health insurers in the nation. Its planned mega-merger with Cigna is ...

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