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Shopping News / Articles
Covered California Premiums Rise Again as Uninsured Californians Under 65 Are Projected to Nearly Double by 2030
2+ day, 8+ hour ago (958+ words) California is heading toward a sharp rise in residents without health insurance, and the head of the state's marketplace is describing the moment in blunt terms. "It's triage," Covered California Executive Director Jessica Altman told KFF Health News in a…...
Hospitals and Insurers Are Buying Up Doctors' Practices, and Patients Are Landing in Pricier Care Settings
3+ day, 7+ hour ago (725+ words) An Ohio woman scheduled for a minor gynecological procedure was told the day before that her doctor could no longer perform it in his office. A hospital system had bought the practice the previous year and required the procedure to…...
Employer Insurance Paid Virginia Doctors 28 Percent More Than Medicaid Managed Care for the Same Preventive Visit
5+ day, 18+ hour ago (980+ words) Employer-sponsored insurance paid Virginia doctors an average of 28 percent more than Medicaid managed care plans for the same routine preventive visit, according to a study published this week in JAMA Health Forum that held the billing code constant across five…...
Aetna Will Not Pay Brokers on 123 Medicare Advantage Plans in 33 States for Next Year
3+ week, 3+ day ago (763+ words) Aetna will not pay commissions to agents and brokers who enroll new members in 123 Medicare Advantage plans across 33 states for the 2027 plan year, according to the notice the CVS Health subsidiary distributed to third-party marketing organizations last week. The freeze…...
Providence Health Plan Will Close Entirely After a Medicare Advantage Deal Collapsed, Leaving Members to Reshop
3+ week, 4+ day ago (685+ words) The last piece of the Providence Health Plan expected to survive is now closing, too. The Oregon-based insurer said it could not reach an agreement with a national carrier to take over its Medicare Advantage business, and that line will…...
Medicaid Income Caps Can Cost Disabled Workers the Home Care That Makes Their Jobs Possible
4+ week, 1+ day ago (859+ words) Medicaid work requirements arriving next year sharpen the contradiction. States are preparing to verify that many enrollees are working, volunteering, or studying at least 80 hours per month. That policy sits alongside eligibility rules that penalize disabled people already working when…...
Appeals Court Strikes Down Parts of the Formula That Sets What Insurers Owe for Out-of-Network Emergency Care
4+ week, 1+ day ago (712+ words) A federal appeals court has struck down key parts of the formula that determines how much insurers must pay emergency physicians, anesthesiologists, and air ambulance crews when those clinicians are out of network, finding that regulators allowed insurers to build…...
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