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There are exempt insurance practices that, at least in theory and under certain conditions, could help insurers defend and expand their market share against competitors. But the exemption simply does not shield the most straightforward kinds of conduct by which companies get big.
Many patients seeking mental health treatments, such as Denise Camp of Baltimore, have been forced to pick up a bigger share of the cost than they do with other medical bills. But a law that went into effect Jan. 1 prohibits such double standards.
While Democrats and Republicans are at odds over much of health reform, they do agree that insurers should not be allowed to retroactively cancel health insurance policies. Capitol Hill watchers say the practice could be outlawed within a few months.
The White House transcript of yesterday's remarks from the health care summit convened by President Barack Obama.
A health care summit between President Obama, Republicans and Democrats ended with the president laying out some areas of consensus between the two parties but many disagreements remain.
The White House released the first set of this morning's remarks from the health care summit convened by President Barack Obama.
With comprehensive health care legislation foundering, House Democrats are turning to a narrower piece of legislation they hope has populist appeal: repealing the antitrust exemption for health and medical liability insurers. Policy makers disagree on the effect the repeal would have.
Three veteran state insurance commissioners said they'd welcome federal advisory help, but draw the line at giving the government authority over rates, a power they say states should retain exclusively.
The last time Congress debated a health overhaul, when Bill Clinton was president, several senators who now oppose an individual mandate actually supported a bill that would have required it. In fact, says Len Nichols of the New America Foundation, the individual mandate was originally a Republican idea.
With health care legislation stalled, the GOP is touting its plan which includes allowing Americans to buy health coverage from another state. Democrats include a version in their bills. Critics say this would erode consumer protections.
With health care legislation stalled, the GOP is touting its plan which includes allowing Americans to buy health coverage from another state. Democrats include a version in their bills. Critics say this would erode consumer protections.
Some lawmakers are considering a scaled-back health bill in place of the comprehensive legislation now stalled in Congress. But there's debate about whether popular insurance reforms, such as requiring insurers to accept applicants with health problems, can be successful without an unpopular individual insurance mandate.
The Democrats' health overhaul legislation is in trouble for many reasons, including key policy decisions that led many Americans to wonder whether they would wind up worse off.
If your health insurance covers prescriptions, you are probably a customer of a pharmacy benefit management company. These third-party administrators for prescription drug programs make up one of the few industries growing during this recession, and are now poised for even more growth, as baby boomers age and Congress prepares to insure more Americans.
A majority said they would increase employees' cost-sharing responsibilities as part of their cost-control strategy.
A major component of the Congressional health bills is a requirement that nearly everyone buy health insurance. But conservatives who oppose health reform have threatened a challenge on constitutional grounds.
A Virginia family got permission for out-of-network care for their son's heart defect but still ended up drowning in debt.
The Lemacks got permission for out-of-network care for their son Joshua's heart defect, but the Virginia family still ended up drowning in debt.
The final decision on who should supervise health exchanges is critical to health plan choices available to consumers, the cost of the premiums and the clout regulators may have.
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