What Medicare’s Value-Based Insurance Test Could Mean for Commercial Plans

A new test within the Medicare Advantage program will lower out-of-pocket costs for chronically ill patients who seek high-value services and providers. Supporters hope the project will lead to changes in federal law and become a template for all health plans with sizable cost-sharing, which have become the standard offering from employers and insurers. But ...

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California Passes Bill Delaying Transfer of Fragile Kids Into Managed Care

California legislators passed a bill postponing a controversial plan that would have shifted tens of thousands of medically fragile children into Medi-Cal managed care plans. The bill, AB 187, passed both houses Thursday and will be sent to Gov. Jerry Brown for his signature. At issue was the fate of the California Children’s Services program, ...

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Health Plans Come Out Against Tax Bills

California’s largest health plan group this week declared its opposition to both of the healthcare special session bills that would impose new taxes on managed-care organizations, the latest sign that a replacement for a soon-to-expire health plan tax is unlikely to emerge before lawmakers adjourn next week. Health plan taxation is the focus of the ...

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Doctor’s Association Sees Harm in Insurance Mergers

WASHINGTON — Doctors and hospitals are stepping up their criticism of proposed health insurance company mergers. In a new study to be released on Tuesday, the American Medical Association says that most insurance markets in the United States are dominated by a few companies and would become even more concentrated with a plan by Anthem ...

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Aetna CEO Got Summer’s First Merger Agreement, Raised Minimum Wage and More

WASHINGTON — The CEO who pulled off the first major insurance company merger agreement of the summer also achieved what many executives might think impossible: He raised his company’s minimum wage, announced plans to up its contribution to workers’ health care and watched the stock soar by nearly 30% since January. But Aetna’s Mark Bertolini is used ...

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Democrat Drops Covered California Waiver for Immigrants

SACRAMENTO, Calif. (AP) – A Democratic state lawmaker on Friday dropped his effort to allow people who are in the country illegally to buy private insurance through the state’s health insurance marketplace. Sen. Ricardo Lara, D-Bell Gardens, removed language seeking a federal waiver that would allow immigrants to purchase unsubsidized coverage through Covered California. His ...

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