3+ hour, 36+ min ago   (462+ words) A new study examines the potential impact of the Medicare Prescription Payment Plan (M3P) " an opt-in policy implemented in 2025 under the Inflation Reduction Act that allows beneficiaries to spread out of pocket (OOP) costs over the calendar year " on Medicare Part…...

1+ mon, 4+ week ago   (1891+ words) Newswise " If you buy your own health insurance, or had planned to for next year, you might have seen news stories and social media posts about insurance costs going up. And not just a little. A lot. You also might…...

2+ mon, 1+ day ago   (313+ words) Leading medical societies spoke out against an Anthem plan to impose a 10% payment penalty on facility claims involving out-of-network (OON) clinicians, a policy that raises serious legal and ethical questions, shifts Anthem's network adequacy responsibility to hospitals and other facilities,…...

2+ mon, 2+ week ago   (214+ words) In a new Q&A, Gerard Anderson, PhD, a professor in Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health, unpacks these rising costs and explains what it will take to build a robust health insurance…...

2+ mon, 2+ week ago   (905+ words) Newswise " Recent federal legislation requires the 40 states that have expanded Medicaid under the Affordable Care Act to start implementing work requirements in their Medicaid programs by January 2027. But a new University of Michigan study suggests that those requirements may work…...

2+ mon, 3+ week ago   (1813+ words) Newswise " Right now, 68 million Americans have a deadline coming up: the deadline to decide their Medicare health coverage for next year if they're over age 65 or have major disabilities. They must make those decisions by December 7, for coverage beginning January…...

4+ mon, 6+ day ago   (332+ words) Newswise " With just over a year to go until low-income people covered by Medicaid expansion in 40 states must start verifying they're working, or exempt from work requirements, a University of Michigan health care researcher says there isn't a moment to…...

5+ mon, 3+ week ago   (182+ words) This legislation does not impact the important patient protections included in the NSA that ACR, ACEP and ASA advocated for and continue to fully support, nor does it raise patient out-of-pocket costs. "According to government data, insurance companies lose nearly…...

9+ mon, 2+ week ago   (212+ words) Abstract The literature on insurance pricing fairness is anchored in the duality of solidarity pricing and individualized pricing. However, within both these pricing frameworks, conflicting principles of fair pricing emerge. I explain that such conflicts arise because the capital insurers…...