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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.

Third ACA Sign-Up Period to Focus on 10.5 Million Uninsured Americans

As a third open-enrollment season nears under the Affordable Care Act, the Obama administration plans to focus on 10.5 million uninsured Americans, trying to persuade them to sign up for coverage that they have ignored or rejected in the past. According to estimates released Tuesday by Health and Human Services Secretary Sylvia Mathews Burwell, that is ...

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Lawmakers Jumpstart Efforts to Plug Billion-Dollar Hole in Medi-Cal’s Budget

Efforts are underway to jump-start negotiations to come up with an equitable tax on health plans that will fill a $1.1 billion gap in the Medi-Cal budget. Legislative leaders announced conference committee appointments Wednesday, after lawmakers failed to come up with a fix before the regular legislative session ended Sept. 11. That wasn’t a formal ...

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Employers Shifting More Medical Costs to Workers

Employers are leaving a bigger chunk of the bill for care to workers who use their health insurance, and benefits experts see few signs of this trend slowing. Most companies now offer health coverage that requires employees to pay an annual deductible before insurance kicks in, and the size of that deductible has soared in ...

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GOP Targets ObamaCare Taxes in Fast-Track Process

Republicans will seek to repeal a range of ObamaCare taxes as well as the healthcare law’s mandates to buy insurance through the fast-track process known as reconciliation. President Obama is sure to veto the measures, but reconciliation will allow them to at least reach his desk, bypassing an expected Senate Democratic filibuster. The process is ...

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Two Halves of California Have Wide Gap in Health Costs

When it comes to health care costs, it’s clear: Where you live matters. And in California, the gap is especially sharp between the north and south. Take, for instance, common procedures like a cesarean section or a total knee replacement. The total average price tag for a typical C-section in the four-county Sacramento area is ...

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Healthcare Costs Rise Again, and the Burden Continues to Shift to Workers

American workers saw their out-of-pocket medical costs jump again this year, as the average deductible for an employer-provided health plan surged nearly 9% in 2015 to more than $1,000, a major new survey of employers shows. The annual increase, though lower than in previous years’, far outpaced wage growth and overall inflation and marked the continuation ...

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Clinton Adds Details to Plans on Prescription Drug Costs

Hillary Rodham Clinton is outlining a sweeping plan to hold down the rising cost of prescription drugs and target drug companies that flood the airwaves with ads. The Democratic presidential candidate says at a forum in Iowa that she wants to protect consumers while promoting innovation and putting an end to profiteering in the pharmaceutical ...

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Prime Healthcare Sues Attorney General Over Hospital Sale

Prime Healthcare, which backed out of its proposed bid to buy six Daughters of Charity Health System hospitals, including two in the Southland, after disagreeing with conditions imposed on the sale sued the state’s attorney general Monday for allegedly abusing her constitutional powers. In the lawsuit filed in federal court in Los Angeles, Prime Healthcare ...

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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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