Reference pricing: A path to lower healthcare spending or a booby trap for consumers?

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Reference pricing: A path to lower healthcare spending or a booby trap for consumers?

May 28, 2014 10:31 am by | 0 Comments

After getting a green light from the Obama administration earlier this month, more employers may begin to cap what they pay for certain medical treatments, such as joint replacements and…


So a U.S. appeals court struck down some Obamacare subsidies — now what?

So a U.S. appeals court struck down some Obamacare subsidies — now what?

July 22, 2014 5:29 pm by | 0 Comments

Updated at 12:45 p.m. A three-judge panel at the U.S. Appeals Court for the D.C. Circuit threw the fate of an important part of the Affordable Care Act into doubt…


Florida Blue is under ‘tremendous financial pressure.’ Translation? Rate hikes for members

Florida Blue is under ‘tremendous financial pressure.’ Translation? Rate hikes for members

July 21, 2014 10:04 am by | 0 Comments

Florida Blue, the state’s dominant health insurer, snagged more than one in three consumers on the health law’s exchange, but many could face rate hikes as the carrier struggles with…



No good deed goes unpunished: Kidney donors report struggles finding life insurance

No good deed goes unpunished: Kidney donors report struggles finding life insurance

July 17, 2014 2:33 pm by | 1 Comments

NEW YORK (Reuters Health) – Although people who have donated a kidney have passed a rigorous battery of tests and tend to be healthier than the average person, many report…


Low-cost health plans make some members feel ‘like a second-class citizen’

Low-cost health plans make some members feel ‘like a second-class citizen’

July 17, 2014 9:22 am by | 0 Comments

Primary care doctors have reported problems making referrals for patients who have purchased some of the cheaper plans from the federal insurance marketplace. Complaints about narrow networks with too few…


California’s uninsured population has reportedly halved under Obamacare

California’s uninsured population has reportedly halved under Obamacare

July 11, 2014 8:51 am by | 0 Comments

SACRAMENTO Calif. (Reuters) – The number of Californians without health insurance has been cut in half since the implementation of Obamacare, according to a survey published Thursday. The study by…


Anthem Blue Cross CA lands in the middle of class action lawsuit alleging it misled enrollees

Anthem Blue Cross CA lands in the middle of class action lawsuit alleging it misled enrollees

July 9, 2014 10:52 am by | 0 Comments

California insurance giant Anthem Blue Cross misled “millions of enrollees” about whether their doctors and hospitals were participating in its new plans, and failed to disclose that many policies wouldn’t…


Bundled payments lowered cost of cancer treatment in 3-year UnitedHealth study

Bundled payments lowered cost of cancer treatment in 3-year UnitedHealth study

July 9, 2014 8:25 am by | 0 Comments

(Reuters) – An experiment changing how U.S. cancer doctors are compensated cut healthcare costs by a third, with no discernible decline in patient health, according to a three-year study by…



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,…


Picky health plans come cheap in eastern Tennessee

Picky health plans come cheap in eastern Tennessee

July 8, 2014 8:56 am by | 0 Comments

CHATTANOOGA, Tenn. — Angela Allen’s struggle to ease her neck pain has been a huge pain in the neck. Her regular spine doctor does not accept the new insurance she…


Florida Medicaid adds a new plan tailored for people with mental illness

Florida Medicaid adds a new plan tailored for people with mental illness

July 7, 2014 11:05 am by | 0 Comments

Seeking to improve care and lower costs, Florida this month became the first state to offer a Medicaid health plan designed exclusively for people with serious mental illnesses, such as…


California ballot initiative would let regulators reject increases in health insurance premiums

California ballot initiative would let regulators reject increases in health insurance premiums

July 3, 2014 7:37 am by | 0 Comments

SACRAMENTO Calif. (Reuters) – Californians paid a quarter of a billion dollars in health insurance premiums during a 15-month period ended last year that were deemed excessive by state regulators,…


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….


6 tools needed to make ‘consumer driven healthcare’ more than a buzzword

6 tools needed to make ‘consumer driven healthcare’ more than a buzzword

June 25, 2014 10:25 am by | 0 Comments

Consumer Driven Healthcare. Though I’m glad that we are finally starting to put the consumer in the middle of the healthcare equation, I still cringe when I hear those words. Let’s…


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…


Newly insured under Obamacare are sicker, previously uninsured, Kaiser survey confirms

Newly insured under Obamacare are sicker, previously uninsured, Kaiser survey confirms

June 19, 2014 2:22 pm by | 1 Comments

(Reuters) – Individuals who purchased health insurance set up under U.S. President Barack Obama’s healthcare reform law rate their personal health as worse than people who bought individual plans elsewhere,…