Health plans

ANS suspends 12 health plans; See the full list

You health insurance It is in the sights of the National Complementary Health Agency (ANS). After the agency’s check, 12 sales plans were put on hold. The reason for this is the number of complaints filed by customers. Read more: See When a retiree must declare an IR According to the APS, the suspension is […]

Health benefits

Where are health care costs going in 2022?

Two years after businesses were shut down nationwide by the pandemic, more employers may begin to change their health insurance benefits. The COVID-19 pandemic has forced businesses large and small to put significant changes to their health plans on hold. In early 2021, Conrad Siegel, a Harrisburg employee benefits and investment consulting firm, reported that […]

Health plans

Amazon Pharmacy partners with health plans for discounted drugs

Amazon Pharmacy is offering a prescription drug discount card to Blue Cross Blue Shield insurance customers in five states, Nworah Ayogu, Chief Medical Officer of Amazon Pharmacy, said in an interview at a health technology conference this week. So far, the program includes partnerships with Blue Plans in New Jersey, Nebraska, Alabama, Florida and Kansas. […]

Health plans

Prior Authorization Rules for Health Plans Under DOL Review

On January 25, 2022, the U.S. Departments of Labor (“DOL”), Treasury, and Health and Human Services (the “Departments”) provided a report (the “Report”) on the Gender Parity Act. Mental Health and Substance Abuse Equity (“MHPAEA”) compliance with Congress. As a backdrop, the Consolidated Credits Act of 2021 (the “CAA”) imposed new obligations on health plans […]

Health benefits

Justin Futrell Shares the Importance of Drinking Water Consultation and Health Benefits

Justin Futrell, CSFS, benefits consultant at TrueNorth Companies, was interviewed by Adam Torres on Mission Matters Money Podcast. Justin Futrell was interviewed by Adam Torres on Mission Matters Money Podcast. Justin Futrell, CSFS, benefits consultant at TrueNorth Companies, was interviewed by Adam Torres on Mission Matters Money Podcast. Beverly Hills, March 07, 2022 (GLOBE NEWSWIRE) […]

Health plans

ELLKAY PARTNERS WITH ASTRATA TO IMPROVE QUALITY MEASUREMENT OF HEALTH PLANS

ELMWOOD PARK, NJ, March 7, 2022 /PRNewswire/ — As ELLKAY, LLC, a leader in healthcare connectivity, prepares for RISE National 2022 in Nashville, the company is pleased to announce its recent partnership with Astrata. Like ELLKAY, Astrata is an innovator in its field, developing natural language processing (NLP) and other analytical technologies to enable health […]

Health plans

Health Plan Prior Authorization Rules Reviewed by DOL for Mental Health Parity Compliance – See the DOL’s Top Five Non-Quantitative ‘Red Flags’ for Health Plans | Foley & Lardner LLP

On January 25, 2022, the U.S. Departments of Labor (“DOL”), Treasury, and Health and Human Services (the “Departments”) provided a report (the “Report”) on the Gender Parity Act. Mental Health and Substance Abuse Equity (“MHPAEA”) compliance with Congress. As a backdrop, the Consolidated Credits Act of 2021 (the “CAA”) imposed new obligations on health plans […]

Health plans

Health Plan Prior Authorization Rules Reviewed by DOL for Mental Health Parity Compliance – See the DOL’s Top Five Non-Quantitative ‘Red Flags’ for Health Plans | Newsletters | Legal news: health care

On January 25, 2022, the U.S. Departments of Labor (“DOL”), Treasury, and Health and Human Services (the “Departments”) provided a report (the “Report”) on the Gender Parity Act. Mental Health and Substance Abuse Equity (“MHPAEA”) compliance with Congress. As a backdrop, the Consolidated Credits Act of 2021 (the “CAA”) imposed new obligations on health plans […]

Health benefits

Non-Insured Health Benefits (NIHB) – Chiefs of Ontario

The NIHB Program is a national program designed to help First Nations people achieve overall health status comparable to that of Canadians. The NIHB Program is also designed to help individuals maintain their health, prevent disease, detect and manage disease, injury and disability. The NIHB Program must provide enforceable coverage for a limited range of […]

Health benefits

This federal law will completely overhaul corporate health benefits. Nobody is ready.

Most employers don’t know if they are getting their money’s worth. Employers rarely see data on health care provider performance, such as infection rates or outcomes. Contracts with pharmacy benefit managers, health plans, and consultants often hide the true costs of services. Sometimes employers are even denied access to their own claims data (although they […]

Health insurance

What works — and what doesn’t — in Washington state’s pioneering publicly-optional health insurance plan

With prospects for the United States adopting a single-payer “Medicare for All” program dim, proponents of health care reform have instead turned to a government-designed insurance plan that could compete with private insurance plans sold on health care exchanges. The idea behind this “public option” is that it could ultimately expand access to health care […]

Health plans

KFB Health Plans offers cost control for members

By Erin Petersilie Kansas Agricultural Bureau petersiliee@kfb.org MANHATTAN — Since its inception, Kansas Farm Bureau Health Plans (KF-BHP) has not increased its general rate for members’ more than 12,000 covered lives. “We heard how difficult it was for our members to balance the ever-increasing cost of health insurance with the variability of farm incomes,” says […]

Health plans

Friday Health Plans Triples Membership During 2022 Open Enrollment Period | News

Denver, Feb 23. 2022 (GLOBE NEWSWIRE) — Registration for Friday Health Plans, a company created to simplify health insurance for the individual and family market, increased its membership by more than 300% by expanding its 2022 offerings to 185 counties in seven states. The Denver-based carrier has enrolled more than 300,000 members in its Affordable […]

Health insurance

All you need to know about supplementary health insurance plans – Forbes Advisor INDIA

The current Covid-19 pandemic and the global health crisis it has caused have shown very clearly that individuals cannot be prepared for unprecedented medical emergencies. The only way to have a safety net and not spend all your hard-earned money on treatments is to invest in comprehensive health insurance coverage that takes care of all […]

Health plans

3 essential tools for health plans in navigating the great resignation

Health has become the second sector of the US economy to deal with the effects of the big quit as churn rates surged late last year. While quits among frontline workers are highest due to burnout due to COVID-19, other professionals are also leaving health care, including in health plans. Now, health plan managers need […]

Health benefits

Sesame launches low-cost health benefits for employers watching the big quit

The news: Digital health start-up Sesame takes place Sesame for employers—a supply of low-cost health services for small and medium-sized enterprises. Previously, Sesame primarily offered direct-to-consumer (D2C) health services where uninsured customers could prepay for care. A key differentiator: Open Call for Employers allows employers to customize health benefits for their employees for as little […]

Health plans

Employers identify best practices for high-deductible health plans in new research from the National Pharmaceutical Council and Gallagher Research & Insights

WASHINGTON, February 14, 2022 /PRNewswire/ — Good health insurance is one of the most valued benefits an employer can offer to attract and retain employees. To maximize the value of High Deductible Health Plans (HDHPs), employers can implement the best practices identified in new search from the National Pharmaceutical Council (NPC) and Gallagher Research & […]

Health plans

Health plans ‘fail to deliver parity’ for mental health and substance use disorder benefits

Diving brief: Health plans ‘fail to deliver parity’ for mental health and substance use disorder benefits, a report of January 25 of the US Department of Labor concluded. This finding is particularly troubling in the midst of a pandemic that has a documented negative impact on individuals’ mental health and leading to increased substance use, […]

Health insurance

Is your health insurance sufficient to cover the “Omicron” variant Covid-19?

🔊 Listen to this article The COVID epidemic does not seem to be ending sooner especially with the arrival of its new variant every year. In such an unpredictable time in our lives, where we simply don’t know when any of us will be detected with the Omicron virus, it is essential to remain prepared […]

Health plans

Expansion of dangerous, cut-price health plans not an answer for Kansans

We buy insurance with one goal in mind: to have financial protection if the worst should happen. This is true for all types of insurance, whether it is coverage we buy to protect our car, our home, or our health. That’s why we were troubled by last week’s opinion piece by Elizabeth Patton (“Bill in […]

Health plans

Group health plans and discrimination rules

Section 108 Division BB of the Consolidated Appropriations Act of 2021 requires the Departments of Labor, Health and Human Services and the Treasury (the “Departments”) to issue regulations under Section 2706(a) of the Public Health Services Act (the “Provision”). The provision prohibits group health plans and health insurance companies from discriminating, with respect to participation […]

Health plans

New COVID-19 guidelines: Government requires health plans to cover COVID-19 home testing | Faegre Drinker Biddle & Reath LLP

On January 10, 2022, the Departments of Health and Human Services, Labor, and Treasury issued guidance regarding the requirement for a group health plan to cover the cost of over-the-counter COVID-19 testing at home. effective January 15, 2022. a new coverage requirement means registrants can go online or at a pharmacy and purchase an FDA-approved […]

Health plans

Indiana Farm Bureau health plans cover nearly 5,000 Hoosiers in first year

Courtesy of Indiana Bureau of Agriculture Listen to the broadcast version of this story. Nearly 5,000 people are now covered by Indiana Farm Bureau health plans just over a year after coverage began. Indiana Farm Bureau Health Plans Director Patrick Williams said he has seen an increase in Farm Bureau membership as people look to […]

Health insurance

What to know about health insurance at tax time

The taxman is coming. Tax time is always a bit stressful, and if you’ve subsidized health insurance through Covered California, you have additional issues to prepare for. A big surprise might be revealed if you earn more income than expected. If so, you may be required to repay some or all of the state and/or […]

Insurance enrollment

Colorado offering special health insurance after a fire, omicron

By Markian Hawryluk, Kaiser Health Network A wildfire displaced thousands of Coloradans just as the omicron wave was beginning to sweep through the state, so health insurance was probably not on many people’s minds when the doldrums began. Regular registration for the state health insurance market closed on January 15. But now, because of these […]

Health benefits

Health plans fail to offer parity for mental health benefits

A January 25 report by the Departments of Labor, Health and Human Services and Treasury, 2022 Report to Congress on the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAE), found that Health plans and health insurers do not offer parity for mental health and substance use disorder benefits […]

Health plans

Pandemic is a mental health crisis, but some health plans and insurance companies are ‘running out’ of coverage, report says

Too many health plans and insurance companies are putting mental health coverage behind physical health conditions even as the pandemic puts mental health issues front and center, according to a federal government report on Tuesday. The health care coverage rules that group health plans and insurers apply to physical and mental health conditions are meant […]

Health plans

aequum Unveils 2022 Outlook for Employer-Sponsored Health Plans: Cost-Containment Strategies and Opportunities to Minimize Risk and Maximize Value

CLEVELAND–(BUSINESS WIRE)–aequum LLC, acting on behalf of 325 self-insured health plans and their participants nationwide, predicts the regulatory and economic trends that will impact medical billing and shape employer-sponsored health plans in 2022. “Over the past year, the focus has been on rising health care costs and federal legislation that supports employer-sponsored health plans access […]

Insurance enrollment

Marshall Fire and Omicron Invite Special Colorado Health Insurance Enrollment Period

This story by Markian Hawryluk appeared on Kaiser Health News (KHN) on January 20, 2022. A wildfire displaced thousands of Coloradans just as the wave of omicron began to sweep through the state, so health insurance was probably not on many people’s minds when the period Regular registration for the state health insurance market closed […]

Health insurance

Wildfires and omicron trigger special health insurance enrollment period in Colorado

A wildfire displaced thousands of Coloradans just as the omicron wave was beginning to sweep through the state, so health insurance was probably not on many people’s minds when the doldrums began. Regular registration for the state health insurance market closed on January 15. But now, because of these twin emergencies, everyone in the state […]

Insurance enrollment

Wildfires and Omicron prompt special Colorado health insurance enrollment period

A wildfire displaced thousands of Coloradans just as the omicron wave was beginning to sweep through the state, so health insurance was probably not on many people’s minds when the doldrums began. Regular registration for the state health insurance market closed on January 15. But now, because of these twin emergencies, everyone in the state […]

Insurance enrollment

Wildfires and Omicron Trigger Special Period of Health Insurance Enrollment in Colorado

A wildfire displaced thousands of Coloradans just as the omicron wave was beginning to sweep through the state, so health insurance was probably not on many people’s minds when the doldrums began. Regular registration for the state health insurance market closed on January 15. But now, because of these twin emergencies, everyone in the state […]

Insurance enrollment

Marshall fire, omicron triggers special Colorado health insurance enrollment period – The Denver Post

The Marshall Fire displaced thousands of Coloradans just as the wave of omicron was beginning to sweep through the state, so health insurance was probably not on many people’s minds when the Regular registration period for the state health insurance market ended on January 15. But now, because of these twin emergencies, everyone in Colorado […]

Health plans

Problems arise as health plans begin to cover COVID-19 home testing

[updated: 1/20/22] AAs the Biden administration’s requirement that health plans and insurers cover the cost of at-home COVID-19 testing, within certain limits, took effect Jan. 15, the first stumbling blocks were evident. Some insurers said their data processing systems were not yet ready to pay the upfront costs of tests purchased by consumers from pharmacies. […]

Health plans

Health plans start covering home COVID testing in Minnesota

Minnesota health insurers are beginning to cover the cost of at-home COVID-19 testing, but state officials are advising consumers to contact health plans first to understand how to access the new benefits. The federal requirement applies to private insurers, including all employer-sponsored group health insurance plans, as well as individual policies from these carriers. However, […]

Health insurance

Mental health care provider Meru Health partners with Tech-Savvy health insurance company Evry Health to provide evidence-based mental health care

SAN MATEO, Calif., January 17, 2022 /PRNewswire/ — Meru Health, the most comprehensive mental health solution on the market with industry-leading results, and Evry Health, a modern multi-company health insurance company, today announced that it will partner to provide Meru Health solution to Evry Health members in Dallas, TX departure January 2022. Meru Health online […]

Health plans

Health plans can help combat the loneliness epidemic of older Americans

The Covid-19 pandemic has been incredibly devastating for older Americans. Not only because they face an increased likelihood of death and complications from the virus, but also because of the lockdowns and social distancing that have pushed them indoors and alone. Indeed, during the pandemic more than half of older people said they felt socially […]

Health plans

Insurance companies, group health plans required to cover cost of at-home COVID testing by Biden administration

The Biden Administration requires insurance companies and group health plans to cover the cost of over-the-counter COVID tests at home, starting January 15. Most consumers with private coverage will be able to go online, to a pharmacy or store, buy a test and have it paid for by their health insurance plan upfront or get […]

Health benefits

Hong Kong start-up Caretia announces the launch of its new digital healthcare platform in Asia

Caretia is a Hong Kong-based startup committed to developing workable healthcare plans. The brand announces its new digital healthcare services platform to empower its clients’ staff and the healthcare industry. Keto, a digital healthcare start-up in Asia, has announced the launch of a brand new digital healthcare platform. The platform provides recommendations and presents teams […]

Health plans

High deductible health plans are the source of medical debt. It’s time to fix them.

With the massive frankness looking them down, HDHP members tend to delay or ignore care, leading to worse results. (Photo: Shutterstock) The open registration season has just ended. Health care consumers across the country have signed up to health plans that – if the nuances are not understood – could bankrupt them. Medical debt is […]

Health plans

Take out health insurance for seniors? Buy health plans with a lifetime restore benefit

Take out health insurance for seniors? Buy health plans with a lifetime restore benefit New Delhi: With an increase in Covid -19 cases in India, especially during Wave 2, there has been growing awareness and demand for health insurance schemes in India. In fact, it wasn’t until March 2021 that the health insurance industry saw […]

Health plans

IRS increases PCORI fees for health plans payable in 2022

The IRS is increasing the fees that insurers or promoters of self-insured health plans pay each year to fund the Federal Patient-Centered Outcomes Research Institute (PCORI) trust fund. For 2022, the fee is due August 1, as July 31 falls on a Sunday this year. Charges apply to previous calendar year health insurance plans. According […]

Health plans

California demands health plans cover home testing for HIV and STIs

With the new year comes a new law. California became the first state to require health insurance plans to cover home testing for sexually transmitted infections (STIs), like HIV, syphilis, gonorrhea and chlamydia. This is the latest effort to deal with a continued increase in STIs nationwide that has only worsened amid the COVID-19 pandemic. […]

Health insurance

Need health insurance? Register with Covered California by December 31 for January coverage • The Mendocino Voice | Mendocino County, CAThe Mendocino Voice

MENDOCINO Co., 12/30/21 – For Californians without health insurance, Covered California offers a variety of options, and the annual enrollment period is open until January 31, 2022. people looking for health coverage from January 1, you can sign up and pay the first bill by December 31 and get health insurance in the new year. […]

Health plans

Group health plans with new prescription drug and health care expense reporting requirements – food, drugs, health care, life sciences

Under the Consolidated Appropriations Act 2021 (the “CAA”), group health insurance plans and health insurance issuers are required to submit certain information relating to prescription drugs and other health care expenses to the Department of Health. Labor, the Department of Health and Human Services, and the Department of the Treasury (the “Departments”).1 (For more information […]

Health insurance

California Covered Deadline Approaches As Omicron Push Highlights Health Insurance Benefits – Lake County Record-Bee

SACRAMENTO – With the omicron COVID-19 variant spreading rapidly across state, Covered California urges uninsured and eligible people to act now so they can receive comprehensive health care coverage for all by 2022. Coverage is essential for both obtaining the necessary prevention. care and cover unforeseen care costs. The first registration deadline is fast approaching […]

Insurance enrollment

Bewellnm extends health insurance registration period for New Mexicans [Deming Headlight]

ALBUQUERQUE – BeWellnm, the New Mexico Health Insurance Exchange, Extends Enrollment Period and Premium Payment for Effective Coverage Beginning January 1, 2022. New Mexicans now have until December 31, 2021 to enroll and pay their premium for coverage for the 2022 plan year from the first of the year. New Mexico residents who would prefer […]

Insurance enrollment

BeWellnm extends health insurance registration period for New Mexicans

ALBUQUERQUE – BeWellnm, the New Mexico Health Insurance Exchange, is extending its enrollment period and premium payment for effective coverage from January 1, 2022. New Mexicans now have until December 31, 2021 to enroll and pay their premium in order to benefit from coverage for the year of the 2022 plan from the first of […]

Health insurance

Only a few days left to subscribe to health insurance from January 1

Marylanders still have a few days to sign up for health coverage that begins Jan. 1, 2022 in the state’s health insurance market, Maryland Health Connection. This year’s open enrollment through Maryland Health Connection is a month longer than in recent years. Residents of Maryland can enroll in a private health insurance plan until January […]

Health plans

Launch of the first Indian health plans for entertainment professionals

Gig-work GigVistas Platform Partners with Online Insurance Platform Alyve Health to Provide Affordable Health Coverage to Over 8 Million Concert Economy Professions in India Comprehensive group insurance plans starting at 999 yen per year and offering up to 30 yen of coverage for independent contractors, freelancers and other professionals in the concert economy. Over 8 […]

Health plans

concert economy: GigVistas partners with Alyve Health to launch health plans for concert workers

GigVistas, the AI-powered stage work platform, has announced its partnership with Alyve Health to launch comprehensive health plans for the more than 8 million professionals in the concert economy in India. The newly launched plans are the first in India to cover concert professionals and their families and are affordable, keeping in mind the specific […]

Health plans

With high-deductible health plans, cancer patients pay more, study finds

Patients with various cancers spent much more out of their pocket than those on traditional diets. Some may delay treatment due to the higher costs. Cancer patients on high-deductible health care plans face significantly higher out-of-pocket costs that can guide treatment decisions, according to a new study. The study, published in Jama network open Wednesday […]

Health plans

Group health insurance plans subject to new regulations

Tuesday, December 21, 2021 Under the Consolidated Appropriations Act 2021 (the “CAA”), group health insurance plans and health insurance issuers are required to submit certain information relating to prescription drugs and other health care expenses to the Department of Health. Labor, the Department of Health and Human Services, and the Department of the Treasury (the […]

Health benefits

Plum launches Lite Health Benefits subscription for start-ups, SMEs and gig workers

Plum has also made it possible to benefit from this membership through monthly subscriptions; this ensures that seeded companies do not have to lock in a large annual investment. Plum, an employee health insurance platform, today announced the launch of Plum-Lite – comprehensive group health insurance membership exclusively for start-ups, SMEs and workers / independent […]

Health plans

Save the date for Saint Leo’s annual registration, February 1 to 14 – Community

Human ressources Published on December 17, 2021 | through university communications Annual enrollment in Saint Leo University employee health plans will take place from February 1-14, 2022, all changes taking effect on April 1, 2022. For this year’s annual enrollment, formerly known as open enrollment, our plan providers are introducing additional services and increasing plan […]

Health plans

Virtual health plans should worry us all

The use of telemedicine has exploded during the pandemic, transforming healthcare into a convenient alternative to in-person visits. Telemedicine can provide patients with increased access to preventive care and services as well as an integrated digital experience. This was certainly a welcome and long-awaited development for both patients and clinicians. But now some health insurance […]

Health plans

Group health plans subject to new prescription drug and health care expense reporting requirements | Foley & Lardner LLP

Under the Consolidated Appropriations Act 2021 (the “CAA”), group health insurance plans and health insurance issuers are required to submit certain information relating to prescription drugs and other health care expenses to the Department of Health. Labor, the Department of Health and Human Services, and the Department of the Treasury (the “Departments”).1 (For more information […]

Health plans

New Illinois Disclosure Requirement for Health Plans – Employment & HR

United States: New Illinois Disclosure Requirement for Health Plans December 15, 2021 Kutak Rock srl To print this article, simply register or connect to Mondaq.com. Earlier this year, Illinois passed the Consumer Coverage Disclosure Act (CCDA), which places new health plan disclosure requirements on all employers. The disclosure is designed to compare the coverage of […]

Health plans

Flume seeks to create behind-the-scenes framework for health plans

Starting a new insurance plan can be long, expensive and difficult. One of the challenges is creating systems to process complaints, track registrations, and manage other administrative tasks. Although some insurers seek to build these features in-house, it can be expensive and time-consuming. Others partner with a third-party administrator (TPA) for this work. Flume Health, […]

Health plans

Employer health plans will soon have to pay for COVID-19 home testing

President Joe Biden’s nine-point action plan for COVID-19, released on December 2, orders federal agencies to pass regulations requiring group health plans and insurers to cover or reimburse costs of COVID early on. home over-the-counter (OTC) -19 tests without requiring health plan participants to pay a portion of the amount. “To expand the access and […]

Insurance enrollment

December 15, 2021 Deadline for enrollment in health insurance

through: Hilltop Health Access Posted: Dec 10 2021 / 9:00 a.m. MST Update: Dec 10 2021 / 9:00 a.m. MST GRAND JUNCTION, Colorado – The deadline for the open enrollment period for health insurance is December 15, 2021 – for coverage that begins January 1st, 2022. Hilltop’s Health Access allows members of the public assistance […]

Health insurance

Governor DeSantis includes salary increases and health insurance premium protections in $ 100 billion budget

Governor of Florida Ron DeSantisThe proposed nearly $ 100 billion spending plan would offer an average 4% pay rise to state employees and ensure their health insurance benefits stay the same until 2023. DeSantis’ budget proposes $ 255 million for salary increases for state employees, but includes the agency’s discretion to determine who gets a […]

Health insurance

A simple tool brought Medicare to thousands

This story also appeared in Stateline, an initiative of The Pew Charitable Trusts. Maryland and Massachusetts, soon to be followed by other states, now allow taxpayers to start purchasing health care coverage on their tax returns, in a bid to lure many residents into low-cost plans or no fees that they may not know they […]

Health plans

🌱Hero’s Welcome + Saint-Gobain Controversy + Health plans + Crafts

Good Wednesday, Bedford! Here’s everything going on in town today. First of all, the weather forecast for the day: Sunny today with clouds. High: 45. Low: 31. Rent this space: Are you a local real estate agent, law firm, or business owner? Keep your business in mind in Bedford by becoming a premium local sponsor […]

Health plans

Consider signing up for high deductible health plans this FEHB open season

For most federal employees, a High Deductible Health Plan (HDHP) or Consumer-Focused Health Plan (CDHP) will be one of the cheapest plans to join next year. Both offer registrants pre-funded savings accounts to pay for free health care expenses and preventative care, and most of them have lower premiums than other FEHB plans. However, HDHP […]

Health plans

Health plans project 5.6% growth for group plans, 2.8% for individual plans

The health plans provide for a 2022 premium increase of 5.6% for fully insured Group plans and 2.8% for Individual plans. For Group plans, this growth is 0.7 percentage point higher than their expectations for 2021. For individual plans, growth expectations are 5.0 percentage points higher. Individual members include all those who purchase insurance individually […]

Health insurance

How provider networks help reduce healthcare costs

Clay Phillips is vice president of supplier programs and strategy at BlueCross BlueShield of Tennessee. Each year, when registering for health plans, many people ask questions about the options of their provider network. You can ask, “How do I make sure my doctor is on my preferred network?” What are the differences between the networks […]

Health plans

How expanding postpartum Medicaid coverage could affect providers and health plans

Amid ongoing debate over Congressional Democrats’ roughly $ 2 trillion social spending bill, newly available data suggests a policy proposal is under the radar could have a big impact on U.S. medical costs, health care providers, insurers and others providing services to a particular group of patients: new mothers. The measure would extend pregnancy-related Medicaid […]

Health plans

Voices from Industry — Health Plans Turn to HIEs While Expanding Population Health Work

It’s a game that works. Like peanut butter and chocolate or Batman and Robin, some things go hand in hand. Health Plans and Health Information Exchange (HIE) are fast becoming one of the most dynamic duos in the healthcare landscape. Like many great partnerships, there was a bit of history of will or not in […]

Health insurance

Oscar and Emory Healthcare Announce Collaboration to Deliver Affordable Health Insurance, Care and Innovation

NEW YORK & ATLANTA – (COMMERCIAL THREAD) – Oscar Health, Inc. (“Oscar”) (NYSE: OSCR), the first comprehensive technology platform-based health insurance company, and Emory Healthcare, Georgia’s largest healthcare system, have announced a collaboration to offer technology-related insurance and healthcare at more than 250 provider locations in Georgia starting in 2022. This new collaboration brings an […]

Health plans

Mental health coverage for group health insurance plans

Monday, November 22, 2021 News Flash: There is no real statutory mandate that employers offer group health coverage, let alone coverage for specific conditions. However, federal law requires health plans that provide coverage for mental health and substance use disorders to ensure that financial requirements (such as coinsurance) and treatment limitations (such as visitation limits). […]

Health plans

Health plans should address health inequalities as part of their core work

HHealthcare businesses and organizations across the country grapple with health inequalities, spurred by devastating disparities in the pandemic’s toll as well as the delay reckoned with the racial injustice that followed. the murder of George Floyd. Some have been there for a while. Others are just getting started. But all of them have a lot […]

Health plans

Cornerstone Healthcare Consulting and Azeros Health Plans Partner to Introduce Healthcare Plan Innovation

Cornerstone Healthcare Consulting and Azeros Health Plans intend to make changes to Western New York health care delivery and financing. “Our goal is not to do what is easy”, says Melissa (Missy) Marsocci, owner of Cornerstone. “We will do what is necessary for the employer community which, to date, has been underserved by health infrastructure. […]

Health insurance

More than 8,000 Mainers have obtained health insurance through the new state market

Thousands of Mainers have signed up for the state’s new health insurance market that has the potential to provide them with affordable health care coverage in 2022. Since registration began on November 1, 8,278 Mainers have chosen health coverage plans through CoverME.gov. The figure includes 862 new registrants as well as 7,416 loyal customers. CoverMe.gov […]

Health plans

Biden administration demands insurers and health plans to account for prescription drug costs

Photo: Jeff Lagasse / Healthcare Finance News In an interim final rule, the Biden administration now requires private insurers to report prescription drug costs, along with key data, to the departments of Health and Human Services, Labor and the Treasury. This is the fourth rule in a series that departments are issuing to implement the […]

Health plans

Sendero Health Plans donates 1,000 turkeys to elderly, disabled and low-income residents of Austin

AUSTIN, Texas, November 18, 2021 / PRNewswire / – One week away from Thanksgiving, Sendero Health Plans, Austin’s nonprofit Affordable Care Act health plan, distributed 1,000 whole turkeys last Saturday to help elderly, disabled and low-income Austinians enjoy a little more. these next holidays. Austin, TX – Austin Public Works volunteers prepare more than 16,000 […]

Health plans

What is preventing healthcare plans from becoming more interoperable? Technical preparation

Lack of technical readiness, from legacy technologies to data silos, continues to prevent healthcare plans from achieving the promise of interoperability. It also creates obstacles to innovation. These are challenges that payers must overcome before the next phase of interoperability takes effect: the widespread adoption of application programming interfaces (APIs) such as Fast Healthcare Interoperability […]

Health insurance

New Bedford businesses help promote health insurance enrollment

NEW BEDFORD – Between eating a bite to eat, dropping off the laundry or getting a haircut, residents will have plenty of opportunities to learn more about purchasing affordable health insurance as they walk across Acushnet Avenue. Over the next several months, Navigators at the Massachusetts Health Connector are encouraging residents to sign up for […]

Health plans

More Americans Should Enroll in Affordable Care Act Health Plans as Costs Fall and Benefits Rise

Yes youI shopped the Affordable Care Act market for a health plan in recent years only be disappointed with its price tags, you might want to try again. More Americans than ever are eligible for federal grants to reduce their health insurance spending in 2022, including millions of people under 65 and the self-employed, who […]

Health insurance

Health Insurance Exchange (HIX) Market Size and Outlook 2028 | Main companies – Accenture, CGI, Deloitte, IBM, Infosys, MAXIMUS, Oracle, Xerox, Connecture, Cognosante,

New Jersey, United States, – A recent market research report added to the repository of verified market reports is an in-depth analysis of the Health Insurance Exchange Market (HIX). Based on the analysis of the historical growth and current scenario of the Health Insurance Exchange (HIX) Market, the report intends to offer actionable information about […]

Health benefits

Family bonuses rise as employers increase virtual mental health benefits, says KFF

Dive brief: Family premiums for employer’s health insurance increased by 4% to an average of $ 22,221 annually this year, according to the Kaiser Family Foundation Employer Health Benefits Survey, released Thursday. On average, workers pay $ 5,969 per year for their health coverage, with employers taking the rest. The average single deductible for workers […]

Health insurance

Sana Expands Affordable Health Insurance Offerings For Small Businesses In Ohio | Your money

AUSTIN, Texas – (BUSINESS WIRE) – November 10, 2021– Sana, a healthcare company that provides Fortune 500 level healthcare benefits to small businesses at affordable prices, today announced its expansion into Ohio to offer comprehensive healthcare plans for small and medium-sized businesses. businesses across the state. This press release features multimedia. View the full release […]

Health plans

Nonprofit health plans report initiatives and progress towards affordable coverage and care

WASHINGTON, November 10, 2021 / PRNewswire / – As prices continue to skyrocket across the healthcare system, the Alliance of Community Health Plans (ACHP) remains committed to providing high-value coverage and care to consumers. Today, ACHA publishes its first Affordability Report, highlighting initiatives and proven successes over the past year to reduce health care costs […]

Health benefits

Redefining the value of health benefits

One thing that is quite clear is that the cost of health care is increasingly a burden on individuals and their families which often outweighs the value they receive in return. This reality should lead us to ask ourselves critical questions, not only about the solutions we offer, but also about the experiences we create […]

Health benefits

Special health benefits that meet the challenges of life

(NewsUnited States) – If you have ever had trouble finding a taxi to your doctor’s appointment, or if you haven’t eaten healthy food in your home, or if you’ve been isolated from your family and your friends for a long time, you are not alone. Humana recognizes that these situations are barriers to good health […]

Health benefits

special health benefits that meet life’s challenges | Herald Community Newspapers

(United States) – If you have ever had trouble finding a taxi to your doctor’s appointment, or if you did not eat healthy food in your home, or if you have been isolated from your family and your friends for a long time, you are not alone. Humana recognizes that these situations are barriers to […]

Health benefits

Special health benefits that meet life’s challenges

(News USA) – If you’ve ever struggled to find a driver to get to a doctor’s appointment, or been left without healthy food at home, or been isolated from family and friends for a long time, you are not alone. Humana recognizes that these situations are barriers to good health — especially as we age […]

Health insurance

Thousands of uninsured Kansans are entitled to free health insurance

In 2014, a man in his 50s came to GraceMed Health Clinic in Wichita, asking him about his options for purchasing health insurance. He hadn’t cared about the blanket before. The expense turned out to be intimidating for someone running their own business. GraceMed employee Juven Nava recalls helping the man find coverage for a […]

Health plans

HealthCrowd’s Christian Bagge to Speak at Texas Association of Health Plans’ 2021 Annual Conference | Texas

SAN MATEO, California, November 5, 2021 / PRNewswire / – Christian Bagge, vice president of digital solutions at HealthCrowd, a leading innovators in healthcare communication as a service platform, will present the November 9 at the Texas Association of Health Plans (TAHP) 2021 Texas Covered Healthcare Conference and Exhibition at 1:30 p.m. CDT at the […]

Health plans

HealthCrowd’s Christian Bagge to Speak at Texas Association of Health Plans 2021 Annual Conference

SAN MATEO, California, November 5, 2021 / PRNewswire / – Christian Bagge, vice president of digital solutions at HealthCrowd, a leading innovators in healthcare communication-as-a-service platform, will present on November 9 at the Texas Association of Health Plans (TAHP) 2021 Texas Covered Healthcare Conference and Exhibition at 1:30 p.m. CDT at the Hilton Austin at […]

Health plans

Moda Health Plans Now Available In Austin

Posted: November 4, 2021 / 12:13 CDT / Update: November 4, 2021 / 12:13 CDT It’s time to subscribe to your mutual for next year. Registration is open from November 1 to January 1. 15 for 2022 coverage. Jason Gootee, vice president of Moda Health, joined Studio 512 co-host Stephanie Gilbert to discuss some tips […]

Health plans

Kansas Navigators Help People Find Health Plans in Obamacare Marketplace | KCUR 89.3

In 2014, a man in his 50s showed up at GraceMed Health Clinic in Wichita, asking about his options for getting health insurance. He hadn’t cared about the cover before. The expense proved daunting for someone running their own business. GraceMed employee Juven Nava recalls helping the man find coverage for a monthly premium of […]

Health plans

Zing 2022 health plans improve access to care

We empower patients to choose the care plan that’s best for them. Tweet this “We empower patients to choose the care plan that’s best for them,” said Dr. Eric E. Whitaker, Founder and CEO of Zing Health. “We put patients in the driver’s seat and allow them to take control of their care.” Zing Health […]

Health insurance

Missouri Department of Commerce and Insurance Releases Final Individual Health Insurance Rates for Plan Year 2022

Jefferson City, Missouri – Chlora Lindley-Myers, director of the Missouri Department of Commerce and Insurance, announced the release of final 2022 personal health insurance rates for the state of Missouri. “The health insurance market in our state and our country continues to be difficult, however, I am pleased with the significant increase in competition that […]

Health plans

The Pros and Cons of a New Twist in Health Plans Economy

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

Simple, Sense Health Insurance Now Available In Oklahoma With Friday Health Plans

Denver, 28 October 2021 (GLOBE NEWSLETTER) – Friday health plans (“Friday”), a health insurance company designed for Americans who buy their own health plans, will make its Oklahoma debuts during registrations open on November, 1st. The Affordable Care Act (“ACA”) compliant operator will cover eight markets and offer four of the cheapest plans in Oklahoma […]

Health insurance

Rising health insurance costs return to pre-pandemic pace

After a brief respite, increases in health insurance rates are returning to their pre-pandemic pace. In the so-called small group market, which covers employers with 1 to 100 employees, New York state regulators have approved an average premium increase of 7.6% for 2022 – well below the 14% demanded by insurers, but nearly double the […]

Health plans

INFB Health Plans Announces Over 4,300 Hoosiers Are Now Enrolled

Indiana Farm Bureau announced today that the Indiana Farm Bureau’s Health Plans had more than 1,700 active plans at the end of the third quarter, an increase of nearly 20% from the end of the second quarter. Additionally, the INFB health plans will not increase the rates for traditional health plans, which provide health coverage […]

Health insurance

Adopt health insurance, Sanwo-Olu tells locals

Posted October 26, 2021 Lagos State Governor Babajide Sanwo-Olu urged residents of the state to enroll in the state health insurance scheme. Sanwo-Olu, at the inauguration of the Lagos State Health System regulation, said the health insurance initiative would help achieve universal health coverage. The governor, who was represented by Lagos State Health Ministry technical […]

Health benefits

Colorado Essential Health Benefits: What Employers Need to Know

The CMS suggests that wider access to these services could have an impact on preventing other conditions, helping to offset any additional direct claim costs in future savings. (Image: Chris Nicholls / ALM) It is not often that the standard submission of a state baseline plan for federal approval would be of interest. But recently, […]

Health plans

Alliance of Community Health Plans Releases Public Comments on Centers for Medicare & Medicaid Services Proposed Rule

WASHINGTON, 23 october – Dan Jones, vice-president of federal affairs at the Alliance of Community Health Plans, posted a public comment on the Medicare and Medicaid Service Centers proposed rule entitled “Requirements for Air Ambulance Services, Agent and Broker Disclosures, and Supplier Enforcement”. Comment was written on October 15, 2021, and posted on October 19, […]

Health plans

Insurer Gets Approval to Provide Individual Health Plans in North Carolina for 2022 | Local

Friday Health Plans Inc., a health insurer that focuses on home and business customers who buy their own health plans, said it plans to serve five triads and Northwestern North Carolina as part of its 2022 coverage areas. The insurer, founded in 2015 and based in Denver, Colo., Said Wednesday it has obtained approval from […]

Health insurance

Corpus Christi Health Insurance May See Policy Changes Regarding Coverage

Rick Thornton, a Corpus Christi health insurance agent, said the current administration is considering not enforcing Section 1303 of the Patient Protection and Affordable Care Act, which undermines the plain text of the law. / EIN News / – Corpus Christi, United States, October 21, 2021 (GLOBE NEWSWIRE) – Corpus Christi health insurance could undergo […]

Health plans

HEALTHCARE SPOTLIGHT: Health First Health Plans Improves Member Experience

Rated as a four star CMS health plan Medicare open enrollment began October 15, and Health First Health Plans is taking the opportunity to share some of the major progress made in 2022. “As we recruit new members for 2022, we have never been so excited. by the services we offer. able to provide our […]

Health plans

Friday health plans confirmed to offer 2022 health insurance options in North Carolina

Denver, 20 October 2021 (GLOBE NEWSLETTER) – Friday health plans (“Friday”), a health insurance company designed for Americans who buy their own health plans, has been approved by the North Carolina Department of Insurance offer health coverage to state residents from January 2022. The company’s Affordable Care Act (“ACA”) compliant plans will be available through […]

Health plans

Friday health plans confirmed to deliver 2022 health

Denver, October 20, 2021 (GLOBE NEWSWIRE) – Friday Health Plans (“Friday”), a health insurance company designed for Americans who buy their own health plans, has been approved by the North Carolina Department of Insurance to offer health coverage for state residents from January 2022. The company’s Affordable Care Act (“ACA”) compliant plans will be available […]

Health insurance

The health insurance exchange market (HIX) is expected

This detailed Health Insurance Exchange (HIX) market report makes it easy to determine the pulse of the market. All competition and market size related statistics for key regions such as North America, Europe, Latin America, Asia Pacific and Middle East are available here. It also gives essential information about the industry as well as the […]

Health benefits

Walmart Enters Employer Health Benefits Space, Threatening Amazon, CVS

The news: Walmart in partnership with a health insurance company Translucent to enable Transcarent members to access prescription benefits, retail clinics, telehealth services, over-the-counter drugs and vaccines from Walmart, among other health benefits. For the context, Transcarent offers personalized digital health services to self-insured employers. Its management team includes former CEO of Allscripts and founder […]

Health plans

Friday Health Plans partners with W3LL to enrich the buying experience for brokers and consumers

Friday saw robust membership growth of over 400% in 2021 and currently serves over 80,000 members in Colorado, New Mexico, Nevada, and Texas. Expansion plans for 2022 include markets in Georgia, North Carolina, Oklahoma and other counties of Colorado and Texas. “With our rapid growth rate and the increasing number of people eligible for federal […]

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 benefits

Colorado adds gender-affirming care to essential health benefits

Other states have used state laws and regulations to set minimum requirements for gender care coverage, but Colorado is the first state to incorporate the requirements into its EHB package. Colorado residents whose bodies conflict with their gender may find it easier to pay for treatment starting in 2023. The Centers for Medicaid and Federal […]

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 benefits

Some Colorado insurers will be required to extend essential health benefits to cover substance use, mental health and gender care

Colorado has received approval from the Biden administration to require certain insurance plans to expand coverage for Coloradans battling drug addiction and other mental and behavioral health issues. “Now, with a 2023 baseline plan, we are expanding access to services in the individual and small group market,” Governor Jared Polis said of minimum health care […]

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 insurance

GUEST COLUMN: Tips for Buying Smart Health Insurance | Opinion

Our health needs can change each year, as can health insurance coverage choices. It is therefore important to understand your health care options to find coverage that meets your needs and budget. The annual or open enrollment season has arrived, a time when many Coloradans and millions of Americans across the country will have the […]

Health insurance

Representative Scott and House Committee leaders urge Biden administration to ensure health insurance companies cover full range of FDA-approved contraceptives

WASHINGTON, October 8 – Rep. Robert C. Scott, D-Virginia, President of House Education and Labor Committee, issued the following press release on October 7, 2021: House committee leaders wrote to Secretary of Health and Human Services Xavier Becerra, Labor secretary Martin J. Walsh, and Secretary of the Treasury Janet Yellen ask their departments to work […]

Health benefits

The Key to Unlocking Your Employees’ Mental Health Benefits

There are many ways to access benefits in today’s vast ecosystem – help your employees unlock immediate access to mental health through point solutions, all-in-one solutions and networking benefits . Members want access to high-quality suppliers without being overwhelmed by reimbursable fees. This is especially true for the mental health benefits available in the network […]

Health benefits

New survey finds educating employees about health benefits the biggest challenge for nearly half of U.S. employers

BOSTON, October 6, 2021 / PRNewswire / – Although 93% of employers find it important to be part of the long-term financial well-being of their employees through the health and pension plans they offer, only half currently offer an option to High Deductible Health Plan (HDHP) associated with an employer sponsored Health Savings Account (HSA) […]