Insurance Focused on Virtual Visits? The Pros and Cons of a New Twist in Health Plans

At the height of the covid-19 pandemic, people often relied on telemedicine for doctor visits. Now, insurers are betting that some patients liked it enough to embrace new types of health coverage that encourages video visits — or outright insists on them. Priority Health in Michigan, for example, offers coverage requiring online visits first for ...

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Scrutiny Of Risk Adjustment Practices Looms Over Medicare Advantage As Open Enrollment Starts

Medicare open enrollment kicked off Friday with more Medicare Advantage plans to choose from but with renewed criticism that insurers are gaming risk adjustment practices to inflate profits. While more and more insurers are expanding their presence in the MA marketplace, private Medicare plans are facing heightened scrutiny over risk adjustment and comprehensive diagnostic coding. ...

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No Plans To Require Proof Of Vaccination In Nevada, Sisolak Says

One day after Los Angeles approved a requirement for proof of full vaccination to enter restaurants and other indoor venues in that city, Gov. Steve Sisolak said he did not envision a similar requirement in Nevada. “I am not anticipating any more mandates, as you’re talking about in L.A.,” Sisolak said on Thursday. “I want ...

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Making Enhanced ACA Subsidies Permanent Could Extend Coverage To Nearly 1M

Nearly 1 million uninsured children and parents could get insurance coverage if temporary, enhanced income-based subsidies on the Affordable Care Act’s exchanges would be made permanent, new data show.

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Large Majorities Want Medicare To Negotiate Drug Prices, Poll Finds

Large majorities of American voters across all political stripes favor letting Medicare negotiate drug prices, and most don't buy into the argument that high drug prices are needed for drug companies to invest in new research, according to a new poll from the Kaiser Family Foundation.

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Kaiser Family Foundation: 7 In 10 Medicare Beneficiaries Don’t Shop For New Plans

New data show that 7 in 10 Medicare beneficiaries didn’t compare plans during the 2018 open enrollment period, even though plans can change in their benefits and costs.

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