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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.

Health Coverage Expanded to Undocumented Immigrants in 35 California Counties

A state panel expanded health care coverage Thursday for undocumented immigrants and other low-income residents of 35 rural counties, including Yolo and El Dorado counties in the Sacramento region. The move by the County Medical Services Program board promises to fill in health access gaps for people who don’t qualify for low-income health coverage through ...

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Top Obamacare Official Looks Ahead After Supreme Court Ruling

The U.S. official overseeing Obamacare said on Friday she has not seen any indication that states will back away from running their own health insurance marketplaces now that the Supreme Court has validated the federal insurance exchange. Sylvia Burwell, secretary of Health and Human Services, also said she expected enrollment in both the state and ...

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Medicare Slow To Adopt Telemedicine Due To Cost Concerns

Donna Miles didn’t feel like getting dressed and driving to her physician’s office or to a retailer’s health clinic near her Cincinnati home. For several days, she had thought she had thrush, a mouth infection that made her tongue sore and discolored with raised white spots. When Miles, 68, awoke on a wintry February morning ...

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When Turning 65, Consumers With Marketplace Plans Need To Be Vigilant In Choosing Health Coverage

Before the Affordable Care Act, older adults who couldn’t afford to buy their own health insurance would count the days until their 65th birthday, when Medicare would kick in. Now, 10,000 Americans hit that milestone every day, but for some who have coverage through the ACA’s insurance marketplaces, Medicare may not be the obvious next ...

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House Votes to Repeal Medicare Cost-Control Panel in ObamaCare

The House voted Tuesday to abolish a cost-cutting board under ObamaCare that has drawn criticism from members of both parties. Lawmakers voted 244-154 to abolish what is known as the Independent Payment Advisory Board (IPAB). The board is tasked with coming up with Medicare cuts if spending rises above a certain threshold, but has been criticized as ...

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Having Survived Court Ruling, Insurance Markets Still Face Economic Threats

Despite having survived a challenge in the U.S. Supreme Court, the federal government’s health insurance markets face weighty struggles as they try to keep prices under control, entice more consumers and encourage quality medical care. The government’s insurance markets – as well as more than a dozen run by states — have been operating for ...

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Nevada to Offer Transgender Health Coverage Starting July 1

State employees and covered family members will have health coverage for gender reassignment and other transgender procedures under a new insurance policy that takes effect July 1. The Public Employee Benefits Program board voted in November to remove language in the state’s self-funded and HMO plans that specifically excluded therapy for gender dysphoria. Brock Maylath, ...

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Lawsuit Accuses Las Vegas Surgeons, Hospitals of Health Care Fraud

A California lawsuit accuses two surgeons and four hospitals in Las Vegas of participating in a massive health care fraud scheme that involved implanting counterfeit spinal hardware into unsuspecting patients. The case, filed in February by dozens of insurance companies in Los Angeles County Superior Court, was recently unsealed. According to the lawsuit, California-based Spinal ...

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Richard Whitley to Direct Nevada Health and Human Services

Gov. Brian Sandoval on Monday appointed Richard Whitley director of the Department of Health and Human Services. Whitley, former administrator of the Division of Public and Behavioral Health, has been interim director of the huge state agency since February. “Richard has proven to be a steady and capable leader and I am pleased to make ...

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Nevada Insurance Chief Resigns; No Reason Given

Nevada Commissioner of Insurance Scott J. Kipper announced Thursday his resignation effective July 2. “It has been an honor to have served the state of Nevada as commissioner,” Kipper said. “I am proud of the division’s accomplishments. I am certain that the Division of Insurance will continue to serve the consumers, protecting the rights of ...

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