Health plans

Insurance focused on virtual tours? A new twist in health plans

During the height of the covid-19 pandemic, people often relied on telemedicine for doctor visits. Now insurers are betting that some patients have liked it enough to adopt new types of health coverage that encourage video visits – or outright insist on them. Priority Health in Michigan, for example, offers coverage requiring online visits for […]

Health plans

Kynect state-based exchange opens October 15 to preview health plans

Starting November 1, Kentuckians can apply, register for benefits through the Kentucky Marketplace at kynect.ky.gov FRANKFORT, Ky. (WTVQ) – Kentuckians are encouraged to visit kynect.ky.gov starting Friday, October 15 to review and compare plans in the state’s new health care market to see which coverage will best meet their needs for 2022. Kentuckians can register […]

Health plans

Hawaii calls on health plans for more transparency on benefits of gender transition

Insurance regulators in Hawaii want to help residents of the state compare the benefits of the gender transition of health plans. The effort may mean that agents, brokers, and other benefits advisors in Hawaii – and every state following Hawaii’s lead – will have another coverage detail to explain to clients. The memo Hawaii Insurance […]

Health plans

Hawaii Asks Health Plans To Show Benefits Of Gender Transition On Web

Descriptions of gender identity benefits should be posted on the web “as soon as possible and at the latest, before the effective date of plans for plan year 2022,” Hayashida said. Hayashida noted that Hawaii’s laws prohibit health plans from discriminating against individuals with respect to participation or coverage, based on real or perceived gender […]

Health plans

Don’t distort surprise billing regulations in favor of health plans

The AMA has serious concerns about the method of calculating the Eligible Payment Amount (QPA), a provision of the No Surprises Act (NSA) designed to protect patients from unexpected off-grid charges for services they thought they were covered by their insurance plan. Under the NSA, the QPA is supposed to represent the median networked tariffs […]

Health plans

Blue Cross Blue Shield of Massachusetts named one of the best health plans in the country for quality and experience

BOSTON, September 30, 2021 / PRNewswire / – Blue Shield Blue Cross from Massachusetts (Blue cross) was once again named one of the best health plans in the country, according to the national authority on the quality of health plans. The National Quality Assurance Committee (NCQA) awarded Blue cross’ HMO / POS commercial plan and […]

Health plans

Blue Cross Blue Shield of Massachusetts named one of the best health plans in the country for quality and experience | New

BOSTON, September 30, 2021 / PRNewswire / – Blue Cross Blue Shield of Massachusetts (Blue Cross) has once again been named one of the nation’s top health regimens, according to the National Authority on Health Plan Quality. National Quality Assurance Committee (NCQA) awarded Blue Cross Commercial HMO / POS Plan and Commercial PPO Plan 4.5 […]

Health plans

Aetna and Optima are two of Virginia’s best performing health plans – State of Reform

Aetna Life Insurance Company (Virginia) and Optima Health Plan both achieved four out of five stars and “accredited” status from the National Quality Assurance Committee (NCQA) annual review, which was updated this month. The NCQA review evaluated 77 health plans in the Virginia market based on patient experience, prevention services, and treatment. Get the latest […]

Health plans

Health 2025: Health plans anticipate emerging business opportunities

Over the past 18 months, the healthcare industry has been defined by a period of sustained innovation and continuous technological investment. Health plans recognize the opportunity to work with providers to provide more patient-centered care and reduce system costs. As government regulations and market forces converge around these initiatives, the time has come to formalize […]

Health plans

Medicaid proposal would allow private health plans to cover mental illness | New

LANSING – Michigan lawmakers plan to integrate mental and physical health care to make it more affordable, accessible and reliable for the state’s poorest citizens. The proposal builds on Medicaid programs and has been the subject of two recent state Senate hearings. Medicaid treatment today separates physical and mental health, making it difficult for patients […]