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Anthem, UnitedHealthcare MA Plans Sanctioned for Missing MLR Threshold
When a Medicare Advantage plan fails for three straight years to meet the 85% threshold, CMS must suspend them from...
'An Arm and a Leg': They Turned Grief Into Action
This episode focuses on how New York enacted a charity care law, one of the precursors to the federal provision...
California's Reboot of Troubled Medi-Cal Puts Pressure on Health Plans
Poor care coordination is one of the many shortcomings of Medi-Cal, which covers over a third of the state's population...
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Dentists Chip Away at Uninsured Problem by Offering Patients Membership Plans
For patients without a job-based plan, purchasing an independent dental policy is expensive and it's unclear whether the benefit outweighs...
Leader of California's Muscular Obamacare Exchange to Step Down
As executive director of Covered California, Peter Lee has worked closely with the administrations of Democratic presidents Barack Obama and...
Intermountain, SCL Health Announce Merger Plans
The two health systems say they hope to have a definitive agreement finalized by year's end, and to close the...
It’s Time to Go Digital with Your Payments: Here’s Why
Hospital Price Transparency Needs Harsher Penalties, Uniform Data Reporting
According to an expert panel, CMS should increase the maximum penalty for noncompliance with the pricing rule from $300 per...
Census: Insured Population Holds Steady, With a Slight Shift From Private to Public Coverage
Twenty-eight million people, or 8.6% of Americans, were uninsured for all of 2020. In 2019, 8% of people were uninsured...
Their baby died in the hospital. then came the $257K bill
A New York family had good health insurance. But the bills for their daughter's care started showing up and kept...
Health care profits for me, but not for thee
In July, the head of the American Hospital Association blasted UnitedHealth Group for its "jaw-dropping" profits in the second quarter....
California’s reboot of troubled Medi-Cal puts pressure on health plans to perform
Medi-Cal's nine commercial insurers, including giants Health Net, Anthem Blue Cross and Blue Shield of California, will have to bid...
More companies consider health insurance upcharges for unvaccinated
Some companies have offered cash to workers who get the vaccine, but as the cost of treating COVID-1 cases skyrocket,...
Medicare expansion clashes with healthcare for the poor as budget bill shrinks
Under pressure to cut the bill's cost, Democrats disagree over whether to offer more benefits to older Americans or to...
CMS extends health insurance sign-up by 30 Days
The open enrollment period for ACA health insurance plans will increase by 30 days this year, lasting from Nov. 1...