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 […]

Health plans

The secret weapon to fight the digital divide in healthcare: healthcare plans

Although there has been a noticeable increase in telehealth use during the global pandemic, broadband coverage has only increased by around 10%. The lack of access to high-speed Internet service among vulnerable populations is a major factor in perpetuating the digital divide that has persisted for years. Although there has been a notable increase in […]

Health plans

What is the concept of individual health plans and what are their benefits?

If you are one of those looking for health insurance coverage, look for the ones that benefit your situation. Individual pans need great coverage because they only have one policyholder. Basically, we would all like to believe that we are invincible, but chances are good that you will need to find something that is suitable […]

Health plans

Virginia businesses can now offer binding personalized health plans on a fully insured basis to give employees certainty over health care costs

MINNEAPOLIS – (COMMERCIAL THREAD) – Bind Benefits, Inc. today announced that its personalized health plans are now available on a fully insured basis for Virginia employers with more than 50 employees. Link a completely redesigned health insurance to give employers the ability to offer a sustainable and attractive health benefit, without continuing to pass costs […]

Health plans

California may require health plans to cover dependent parents of enrollees

Pending final approval from Governor Gavin Newsom, California is in a position to require state-regulated private health plans to provide health insurance coverage to eligible dependent adults. AB 570, or the “Parent Healthcare Act”, drafted by Asm. Miguel Santiago and sponsored by the California Department of Insurance (CDI), will require health plans to provide coverage […]

Health plans

Individually Managed Health Plans Could Improve Your Business TSA

The number of uninsured Americans is rising and it’s not because employers are abandoning plans – people have employer sponsored group plans, but they choose to opt out altogether. High costs are at the root of much of these decisions: Employees pay almost $ 2,000 more of their own wages for health benefits under a […]

Health plans

It’s time for employers to grill their health plans with prior authorization

Health insurance companies like to tout their pre-authorization process as a cost saving measure. WADA, however, tells employers that prior authorization is nothing of the sort and can actually increase costs and lead to employee absenteeism. “Prior authorization may not be a good deal for you or your employees,” says the opening page of the […]

Health plans

Indiana Farm Bureau Health Plans Attracts New Members

With 1,631 active plans enrolled as of July 31, Indiana Farm Bureau Health Plans offers traditional health plans, Medicare supplemental insurance plans, or dental and vision plans to more than 4,000 people. Indiana Farm Bureau created the plans to address significant concerns from members about rising health care costs, especially for the self-employed, which many […]

Health plans

Cigna + Oscar Expands Footprint on Small Business Access to Affordable Health Plans in Illinois

CHICAGO & NEW YORK – (COMMERCIAL THREAD) – Cigna, one of the world’s leading health services companies, and Oscar Health, Inc. (“Oscar”) (NYSE: OSCR), the leading health insurance company based on a comprehensive technology platform , announced today that Cigna + Oscar1 Small business health insurance will be available in Chicago (Cook County), as well […]

Health plans

WA exchange sees record number of health plan signups

Screenshot More than 57,000 Washington residents purchased health care coverage between Feb. 15 and Aug. 15 in the state’s insurance market, according to Washington Healthplanfinder. The Washington Health Benefit Exchange opened a special registration period in February in response to the economic upheaval from the COVID-19 pandemic. Anyone in Washington was able to apply for […]

Health plans

Health plans phase out cost-sharing exemptions for COVID treatment

Although a handful of states have required or created agreements with insurers to waive COVID-19 treatment fees for their fully insured plan members, there is no federal mandate that requires insurers to do so. (Photo: Shutterstock) Nearly three-quarters of the nation’s largest health plans are no longer forgoing cost-sharing of COVID-19 treatment, the Peterson-KFF Health […]

Health plans

Most Maine health plans no longer waive patient costs for COVID-19 treatment

Following a national trend, two of Maine’s largest health insurance providers – Anthem and Harvard Pilgrim – have stopped waiving out-of-pocket patient expenses such as deductibles and copayments for COVID-19-related treatments, this which means that patients hospitalized for the disease will likely pay a lot more. Only one major insurer of Mainers, Community Health Options, […]

Health plans

Kansas Farm Bureau Health Plans Address Critical Farmer Need

For farming families nationwide, health insurance coverage and health care costs have long been one of their biggest annual expenses – and one of the biggest threats to staying in. business, as farm incomes drop and insurance costs skyrocket. Diving deeper, a survey of farmer members of the Kansas Farm Bureau showed that 8% of […]

Health plans

State of Oregon releases final pricing decisions for 2022 health plans – State of Reform

Small businesses and individuals who purchase their own health insurance can now view the Oregon Financial Regulatory Division’s final rate decisions for 2022 health insurance plans. The division reviews and approves rates through a detailed and transparent process before they can be billed to policyholders. Final decisions are based on the result of a rigorous […]

Health plans

Workers’ union sues Die Cast Co. over outdated health plans

Law360 (Aug 19, 2021, 2:13 p.m. EDT) – A union representing workers at a western Pennsylvania die-casting plant has filed a lawsuit in federal court alleging that a technical error resulted in the loss of a large number of members have health insurance coverage until next summer. The International Union of Workers of North America […]

Health plans

AHA to Blame Health Plan Costs in Letter to Antitrust Regulators

Dive brief: The country’s most powerful hospital lobby is stepping up its defense of hospital mergers as the Biden administration aims to crack down on supplier consolidation. The American Hospital Association on Wednesday sent a letter to senior officials in the White House, HHS, Department of Justice and Federal Trade Commission defending mergers and acquisitions […]

Health plans

More employers are withdrawing from traditional group health plans

With rising health care costs, more employers in Georgia are abandoning group health insurance plans and saving up to 15% in the process. The introduction of Individual Coverage Health Care Reimbursement Agreements (ICHRA), a new type of health care reimbursement agreement that helps control employee health care costs and provides more flexibility, helps to this […]

Health plans

Insurance companies demand higher rates for health plans next year

Arielle Levin Becker :: CTMirror.org ConnectiCare is one of many insurance companies looking to increase health plan premiums next year. Insurance companies selling on and off plans for Connecticut’s Affordable Care Act exchange, Access Health CT, are again looking to increase the cost of premiums – this time for policies that begin in 2022. The […]