No Data, Higher Premiums: Insurance Industry Braces For Fallout From Government Cuts

The insurance industry relies on a steady flow of publicly available data to predict losses, price policies, and mitigate financial exposure. What happens when those data streams dry up? We’re on the verge of finding out. Recent governmental workforce reductions, agency closures and “streamlining” initiatives fostered by President Donald Trump, his unelected advisor, Elon Musk, ...

Read More

Blue Shield Of California CEO Exits After 2 Months

Blue Shield of California CEO Lois Quam is stepping down after two months on the job. The nonprofit health plan will begin a search for a permanent CEO and has appointed CFO Mike Stuart as interim president and CEO, according to a March 11 news release. Mr. Stuart was appointed Blue Shield’s CFO in 2022 and previously ...

Read More

Company Sold ‘Sham’ Health Insurance In California, Must Return $800k To Customers CA DOJ Says

Two companies have agreed to a $1.3 million settlement after they were accused of selling “sham” health insurance plans, the California Department of Justice said. According to the CA DOJ, Sedera, Inc. and Sedera Medical Cost Sharing Community, LLC (SMC) billed customers monthly in exchange for the payment of medical services, a plan which they ...

Read More

Dr. Oz, With A TV Host’s Flair, Promises Simple Solutions For America’s Health Care Ills

Dr. Mehmet Oz, President Donald Trump’s pick to oversee Medicare, Medicaid and Obamacare, told senators a combination of investments, technology, and regulatory changes could both bring down costs and make America healthy again. “We have a generational opportunity to fix our health care system and help people stay healthy for longer,” Oz told senators on ...

Read More

CAA Pharmacy Rx Data Collection (RxDC) Compliance Requirements Due by 6/1

The Consolidated Appropriations Act (CAA) of 2021 introduced a complex set of transparency-related compliance requirements for health plans, insurance issuers, agents, and providers – all designed to improve clarity and accountability in health care. One of the CAA’s key transparency initiatives is the annual Rx Data Collection (RxDC) reporting requirement, which mandates that health plans and ...

Read More

The Good News About Anxiety

The first time my improv teacher called me up to act out a scene, my throat clenched and my vision briefly went dim. The thought of performing in front of other people, especially in a way that was meant to be silly, sent my anxiety into the stratosphere. I had signed up for improv to ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square