Federal audit reports have found numerous instances of Medicare health plans improperly rejecting medical service claims, unjustly limiting coverage on prescription drugs and unfairly delaying patient access to care, according to The New York Times.
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During the second open enrollment period for the Patient Protection and Affordable Care Act exchanges (which begins Nov. 15), federal officials seeking to get the remaining eligible uninsured population signed up for coverage will face the following five main challenges,…
CMS has announced Medicare Part A premiums will decrease in 2015, while Medicare Part A deductibles will increase, according to an American Hospital Association report.
Chicago-based WellPoint commands the health insurance market in a majority of metropolitan areas, according to an American Medical Association annual study of health insurer competition.
CMS has released a managed care rate setting consultation guide for states to use to determine Medicaid managed care payments in calendar year 2015.
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HealthCare.gov CEO Kevin Counihan has said the federal health insurance exchange website will become so user friendly that it will prompt consumers to become "raving fans" of the Patient Protection and Affordable Care Act, according to a Bloomberg report.
Aetna will introduce a new Medicare Advantage HMO plan this month through three Northern New Jersey health networks in 10 Northern New Jersey counties.
The Patient Protection and Affordable Care Act may have ebbed as a midterm elections issue, but nearly 50,000 Americans losing their current health coverage in the coming weeks due to the health reform may swing some voters, according to a…
CMS and state agencies need to work to strengthen standards to ensure adequate access to care services for Medicaid managed care enrollees, according to an HHS Office of Inspector General report.
The Minnesota Commerce Department is getting ready to preview early snapshots of next year's premium rates for the state's health insurance exchange, MNsure, according to a Star Tribune report.