U.S. Sen. Rick Scott, R-Fla., proposed legislation to “stop giving tax dollars to big insurance companies” and instead redirect premium tax credit amounts to people with a Trump Health Freedom Account, which would mirror a health savings account. “My new…
Author: Elizabeth Casolo
Trade association AHIP published its state-by-state report on health coverage Nov. 12. The organization identified 697,928 health plan employees and 1,301,167 insurance-related employees across the country based on U.S. Census Bureau 2022 data. Here are how many health plan employees…
U.S. Reps. Kathy Castor, D-Fla., Brian Fitzpatrick, R-Pa., and Debbie Wasserman Schultz, D-Fla., have reintroduced a bill to widen access to lung cancer screenings, according to a Nov. 20 news release. The bill prevents Medicaid, traditional Medicare, Medicare Advantage, and…
Independent Health is joining MVP Health Care, another nonprofit insurer based in New York. Sharing assets is one reason for the member substitution agreement, but there is another opportunity for the organizations. Pharmacy Benefit Dimensions is a subsidiary of Independent…
Insurers carry out chart reviews to verify alignment between medical records and information submitted by providers. While these reviews can help payers understand a beneficiary’s needs and increase payments to accommodate anticipated costs, they could also be used inappropriately. “Chart…
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Gold Coast Health Plan appointed Suma Simcoe as COO, effective Oct. 15, according to an Oct. 30 news release. Ms. Simcoe joined GCHP from L.A. Care Health Plan and was previously at Molina Healthcare. She has a record of launching…
Over one-half of eligible Medicare beneficiaries are enrolled in Medicare Advantage plans this year, according to KFF. Given that enrollment and recent scrutiny, all eyes are on how the private alternative to traditional Medicare gets paid. A Nov. 20 KFF…
Thirteen Democrats in the U.S. House of Representatives introduced eight bills aimed at reforming Medicare Advantage and solidifying traditional Medicare, according to a Nov. 19 news release from Rep. Mark Pocan, D-Wis. Each piece of legislation falls into one of…
Connecticut Gov. Ned Lamont signed a bill Nov. 18 requiring insurance companies to extend autism behavioral therapy coverage to include individuals up to 26 years old. Behavioral therapy for autism can include applied behavior analysis and cognitive behavioral therapy, along…
Over 90% of Medicare Advantage beneficiaries believe that supplemental benefits can improve health and save money, according to a Nov. 20 Humana Healthcare Research survey. Humana’s research organization, coupled with input from the University of Pennsylvania, surveyed 5,979 of the…