California Takes On Health Giant Over High Costs
The lawsuit is a bold move against Northern California’s dominant hospital chain, whose prices have drawn complaints for years. It has disputed such allegations in the past.
Insurers
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Patients Overpay For Prescriptions 23% Of The Time, Analysis Shows
Researchers at the University of Southern California analyzed millions of prescriptions and concluded that close to a quarter paid copays that exceeded the cost of the drugs.
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From The ER To Inpatient Care — At Home
Some health systems are encouraging selected ill emergency department patients who are stable and don’t need intensive, round-the-clock care to opt for hospital-level care at home.
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Cartoon Mascot Masks Nasty Health Care Feud
California’s health insurers trotted out a heart-healthy character with an ulterior motive — taking a dig at drugmakers.
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Trump Administration Proposes Rule To Loosen Curbs On Short-Term Health Plans
The policy change is likely to entice younger and healthier people from the general insurance pool by allowing a range of lower-cost options that don’t include all the benefits required by the federal health law.
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California’s Regulators To Investigate Aetna’s Medical Coverage Decisions
The investigations follow testimony in a lawsuit by a former Aetna medical director who said he relied on information from nurses, without reviewing patient records himself, when deciding which treatments to allow and deny.
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Maryland Offers Many Insured Men Free Vasectomy Coverage
But state officials are trying to get assurances from the Internal Revenue Service that the new law does not conflict with federal rules for health savings accounts.
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It’s In The Mail: Aetna Agrees To $17M Payout In HIV Privacy Breach
In a low-tech snafu, information about HIV treatment was visible through the cellophane window on envelopes sent to about 12,000 consumers.
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CVS-Aetna Merger A Bid To Bring Down Costs, Gain Competitive Edge
What will the mega-merger mean for consumers and the health care industry? Senior correspondent Chad Terhune offers insight.
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Middle-Class Earners Weigh Love And Money To Curb Obamacare Premiums
Ineligible for subsidies, a Tennessee woman quit her job to get an affordable health care premium. Conventional steps — such as maxing out your 401(k) contribution each year — may also do the job, financial planners say.
By Rachel Bluth -
Taken For A Ride? Ambulances Stick Patients With Surprise Bills
Public outrage over surprise medical bills prompted 21 states to pass consumer protection laws. But these laws largely ignore ambulance rides, which can leave patients stuck with hundreds or even thousands of dollars in bills.
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Surprise Ambulance Bills: A Consumer’s Guide
What to do if you get hit by an exorbitant ambulance bill — and how to avoid them in the first place.
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For Millions of Insured Americans, State Health Laws Don’t Apply
Many states have adopted strong consumer regulations, but they don’t protect the millions of Americans with a specific type of job-based coverage.
By Emily Bazar -
California Fines Anthem $5 Million For Failing to Address Consumer Grievances
The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
By Chad Terhune -
Enriched By The Poor: California Health Insurers Make Billions Through Medicaid
Medicaid is rarely associated with getting rich. But some insurance companies are reaping spectacular profits off the taxpayer-funded program in California, even when the state finds their patient care is subpar.
By Chad Terhune and Anna Gorman -
Health Companies Race To Catch UnitedHealth As Amazon Laces Up
UnitedHealth, a health industry goliath, has its hand in doctors’ offices, surgery centers, technology services and prescription drugs. It is the industry model, and CVS and Aetna, says one expert, are ‘wannabes.’
By Chad Terhune -
Anthem Eases Up On Premium Hikes After State Scrutiny
After regulators questioned Anthem’s forecast for medical costs, the company agreed to reduce rate hikes on its individual and small-business health plans next year, saving customers an estimated $114 million.
By Chad Terhune -
Long-Term Disability Insurance Gets Little Attention But Can Pay Off Big Time
People who become disabled because of accident, injury or illness can turn to long-term disability insurance to pay a portion of their income.
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Repeal & Replace Watch
The GOP Repeal Bill Is Imploding. Here Are 5 Things Left Hanging On Obamacare.
Even though the Affordable Care Act has dodged another legislative bullet, it still faces challenges.
By Julie Rovner -
Need An MRI? Anthem Directs Most Outpatients To Independent Centers
The insurer says hospital-based imaging services are too expensive and the independent facilities provide high-quality care.