The Blue Cross Blue Shield Association and America's Health Insurance Plans both oppose a proposed rule that would amend the definition of expected benefits to include wraparound coverage.
Despite all the improvements that federal officials have made to HealthCare.gov to prepare for the second enrollment period, insurers remain concerned that the Department of Health and Human Services (HHS) hasn't perfected a system for informing them when existing consumers switch plans, reported the Philadelphia Inquirer.
To help defray the high costs of certain treatments and prescription drugs, like hepatitis C drug Sovaldi, insurers are figuring out different ways to cover the drugs and services by limiting who can have access to them, reported Kaiser Health News.
Challenged by insurers ratcheting down their payments, hospitals and medical groups are creating more fees and charges for patients to pay as part of the care they receive, The New York Times reported.
As the trend toward hospital mergers a nd acquisitions continues, America's Health Insurance Plans is pushing back against consolidation, saying it jeopardizes insurers' attempts to move toward a value-based reimbursement system
I'm a fan of the mom-and-pop store. Even if it means paying a little more for the same product available at a big-box retailer, I would prefer shopping at a small, local store. That's because I tend to receive better customer service at the smaller shops where they personally value my business. And I would allege the same to be true in the healthcare industry.
America's Health Insurance Plans has called out the drug industry for the soaring costs of new specialty medications, saying such expensive pricing is unsustainable and takes unfair advantage of health insurers
Narrow networks have become the favorite among insurers selling plans on health insurance exchanges. Now, insurers need to help convince consumers that they don't need more provider choices and it's better to save money instead.
When consumers challenge a healthcare service their insurer denied, they win about half the time, data from California insurance departments show.
Insurers put certain pricey prescription drugs in specialty tiers that require members to pay more for them, causing some patient advocates to wonder whether they're trying to discourage consumers with pre-existing conditions from enrolling in their plans, a new analysis found.