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We need an app to solve this: No one can figure out which doctors are in network or out

We need an app to solve this: No one can figure out which doctors are in network or out

February 17, 2015 8:00 am by | 1 Comments

“Is this doctor in my insurance network?” is part of the litany of questions many people routinely ask when considering whether to see a particular doctor. Unfortunately, in some cases…


UnitedHealthcare not welcome in California health marketplace

UnitedHealthcare not welcome in California health marketplace

February 11, 2015 9:01 am by | 0 Comments

UnitedHealthcare can’t have its cake and eat it too. That’s the message from the California health insurance marketplace, which turned aside a request from the nation’s largest health insurer to…



Consumer-driven drug coverage (Obamacare style). Nothing fits

Consumer-driven drug coverage (Obamacare style). Nothing fits

January 23, 2015 7:20 am by | 1 Comments

Square peg, round hole. More than a third of silver plans offered on the federal health insurance marketplace may be listing inaccurate or incomplete prescription drug cost-sharing information because their…


Turns out Medicare Advantage is a great option (for people already in Medicare)

Turns out Medicare Advantage is a great option (for people already in Medicare)

January 18, 2015 10:00 am by | 1 Comments

The majority of people who signed up for Medicare Advantage plans in recent years were switching out of the traditional Medicare program, according to a recent study. The findings contradict…


The contraceptive mandate hasn’t stopped some employers from limiting access to birth control

The contraceptive mandate hasn’t stopped some employers from limiting access to birth control

August 22, 2014 9:35 am by | 0 Comments

How much leeway do employers and insurers have in deciding whether they’ll cover contraceptives without charge and in determining which methods make the cut? Not much, as it turns out,…


‘Parallel review’ pilot by FDA, CMS will speed up Medicare coverage for new cancer test

‘Parallel review’ pilot by FDA, CMS will speed up Medicare coverage for new cancer test

August 15, 2014 10:53 am by | 0 Comments

Medicare beneficiaries may get speedier coverage for a newly approved screening test for colorectal cancer under a pilot project in which two federal agencies reviewed the product at the same time…


Consumers beware: Short-term health plans aren’t held to same standards as exchange plans

Consumers beware: Short-term health plans aren’t held to same standards as exchange plans

August 8, 2014 2:03 pm by | 0 Comments

Consumers who missed open enrollment on the state health insurance marketplaces this spring or who are waiting for employer coverage to start don’t have to “go bare.” Short-term policies that…



Some workers set to be automatically enrolled in health plans under controversial Obamacare provision

Some workers set to be automatically enrolled in health plans under controversial Obamacare provision

August 5, 2014 2:53 pm by | 0 Comments

Newly hired employees who don’t sign up for health insurance on the job could have it done for them under a health law provision that may take effect as early…


In Medicare pilot project, some patients don’t have to choose between palliative care or treatment

In Medicare pilot project, some patients don’t have to choose between palliative care or treatment

July 29, 2014 12:09 pm by | 0 Comments

Diane Meier is the director of the Center to Advance Palliative Care, a national organization that aims to increase the number of palliative care programs in hospitals and elsewhere for patients…


Arkansas may become the next state to make Medicare members contribute to HSAs

Arkansas may become the next state to make Medicare members contribute to HSAs

July 22, 2014 12:51 pm by | 0 Comments

If all goes according to plan, next year many Arkansas Medicaid beneficiaries will be required to make monthly contributions to so-called Health Independence Accounts. Those that don’t may have to…


Advocates accuse insurers of discriminating with high cost-sharing for chronic disease drugs

Advocates accuse insurers of discriminating with high cost-sharing for chronic disease drugs

July 8, 2014 4:59 pm by | 0 Comments

Four Florida insurers allegedly discriminate against people with HIV/AIDS by structuring their prescription drug benefits so that patients are discouraged from enrolling, according to a recent complaint filed with federal officials. The complaint,…


Proposed ‘copper plans’ for penny-pinchers aren’t popular with health policy experts

Proposed ‘copper plans’ for penny-pinchers aren’t popular with health policy experts

July 1, 2014 11:11 am by | 1 Comments

If you offer it, will they come? Insurers and some U.S. senators have proposed offering cheaper, skimpier “copper” plans on the health insurance marketplaces to encourage uninsured stragglers to buy….


Advocates worry Connecticut decision may chip away at hard-won gains for autism coverage

Advocates worry Connecticut decision may chip away at hard-won gains for autism coverage

June 24, 2014 10:58 am by | 0 Comments

Today, many families with autistic children count on their insurance coverage to help pay for the often expensive, long-term treatment their kids need. But advocates and public policy experts say a…


Pilot programs give school nurses access to EHRs to help kids manage chronic diseases

Pilot programs give school nurses access to EHRs to help kids manage chronic diseases

June 10, 2014 8:51 am by | 0 Comments

Although the school nurse is a familiar figure, school-based health care is unfamiliar territory to many medical professionals, operating in a largely separate health care universe from other community-based medical services. Now,…


In some states, sexual assault victims bear the burden of certain medical bills

In some states, sexual assault victims bear the burden of certain medical bills

June 3, 2014 1:01 pm by | 0 Comments

The effects of a sexual assault can be long-lasting, but the medical bills shouldn’t be. Yet a new study finds that despite federal efforts to lift that burden from rape…