High On Drugs? Anthem Cites Soaring Drug Costs To Justify 35% Rate Hike in California
The company’s drug spending prediction, far above other insurers in the individual market, has experts scratching their heads. Anthem cites market volatility.
Insurers
241 - 260 of 328 Results
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Narrow Networks Get Even Tighter When Shopping For Mental Health Specialists
The average provider network includes only 11 percent of all the mental health care providers in a given market, according to a study this month in the journal Health Affairs.
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If You’re Blindsided By Health Plan Changes, Learn The Root Causes — And Your Rights
Insurers can reduce benefits or change cost sharing, but they are generally supposed to tell enrollees about the change beforehand. And although plans must tell patients when they are denied coverage, sometimes treatment is affected for other reasons.
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Repeal & Replace Watch
Insurance Commissioners Say Help Offered By Congress Is Not Enough To Save Market
Making needed fixes to Obamacare before next year may be more difficult — and expensive — than Senate leaders think, state insurance commissioners suggested at a Senate hearing Wednesday.
By Julie Rovner and Rachel Bluth -
Repeal & Replace Watch
Podcast: ‘What The Health?’ Back To Health Crunch Come September
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Margot Sanger-Katz of The New York Times discuss the continuing efforts in Congress to “repeal and replace” the Affordable Care Act, upcoming open enrollment for individual insurance and Congress’ long health care to-do list for September.
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Podcast: ‘What The Health?’ No Vacation For Insurers
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Sarah Kliff of Vox.com, and Margot Sanger-Katz of The New York Times discuss the state of the individual health insurance markets in the wake of the failure (for now) of Congress’s efforts to repeal and replace the Affordable Care Act.
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Why One Insurer’s Collapse Could Whack Insurers, Policyholders Across the Country
Little-known rules require all health insurance companies to help pay claims when any one of them fails. Penn Treaty failed big — and insurers around the country are likely to pass those costs onto policyholders.
By Chad Terhune -
Despite Insurers’ Tactical Win On ACA’s Cost-Sharing Payments, Uncertainty Lingers
Court allows state attorneys general to join a pending legal challenge to keep billions in subsidies flowing to consumers and insurers, despite the Trump administration’s resistance.
By Jay Hancock -
Anthem’s Retreat Leaves Californians With Fewer Choices, More Worries
The nation’s second-largest insurer is shrinking its presence on Obamacare exchanges and in the broader individual market in response to prevailing uncertainty. California is just the latest — and the biggest — example.
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Covered California Expects 12.5% Average Rate Rise In 2018
The figure could be higher if President Trump ends an important consumer subsidy, which he has threatened to do. The exchange also announced that Anthem Blue Cross will pull out of Covered California and the overall individual market in 16 of the 19 regions it currently serves.
By Emily Bazar and Anna Gorman -
Repeal & Replace Watch
5 Ways White House Can Use Its Muscle To Undercut Obamacare
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.
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Repeal & Replace Watch
5 Ways White House Can Use Its Muscle To Undercut Obamacare
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.
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Repeal & Replace Watch
Analysis: Senate’s Latest Health Blueprint Cuts Costs At The Expense Of Chronically Ill
The Senate draft bill released Thursday to replace the Affordable Care Act risks creating a high-cost ghetto for those with preexisting conditions or long-term sickness, experts say.
By Jay Hancock -
REPEAL & REPLACE WATCH
Podcast: What The Health? Senate Health Bill 2.0. Still On Life Support
Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Sarah Kliff of Vox.com, and Margot Sanger-Katz of The New York Times discuss the changes to the proposed Senate health bill.
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Repeal & Replace Watch
Podcast: What The Health? Why Is This Stuff So Complicated?
Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Paige Winfield Cunningham of The Washington Post discuss the state of the Senate’s effort to replace Obamacare.
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REPEAL & REPLACE WATCH
Should GOP Health Bill Prevail, Say Bye-Bye To Insurance Rebates
A little-noticed provision of the Senate GOP health plan would unwind an Affordable Care Act provision limiting insurer profits, administrative costs.
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Kaiser Permanente Cited — Again — For Mental Health Access Problems
California’s HMO watchdog agency says the HMO giant still is making mental health patients wait too long for treatment despite previous warnings and a large fine.
By Jenny Gold -
Repeal & Replace Watch
Senate And House Take Different Plans To Scrap Individual Mandate
The Republicans' penalty would affect people buying insurance who had a lapse in coverage of more than 63 days over a year.
By Jordan Rau and Anna Gorman -
REPEAL & REPLACE WATCH
As Insurance Options Shrink, Families Are ‘Holding Our Breath’
One of two insurers in this tiny state has announced it will not be back in the marketplaces next year, leaving customers concerned about the prices they will pay.
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If Insurance Market Crashes, Can Lawmakers Put The Pieces Back Together?
Actions by the Trump administration are putting pressure on the fragile market for individuals who buy their own coverage, but analysts say it should be able to rebound.
By Julie Rovner