The Hawaii Medical Service Association’ s new Select Plus HMO plan, for Oahu members only, is part of a revamp of its Akamai Advantage plans to take effect next year. At $45 per month, the HMO option is the least expensive of the plans for Oahu members compared to the new Complete PPO plan at $55 per month and new Complete Plus plan at $240 per month.
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A judge ruled Tuesday against the State Health Plan’ s request to pause an Atrium Health program meant to lower out-of-pocket costs for plan members. The plan’ s release framed the move as“ building upon Atrium’ s commitment to Plan members and enhancing its impact.” It said the change would save the“ Plan hundreds of millions of dollars and, if Atrium Health keeps its…
–The U.S. Department of Health and Human Services has moved to terminate subsidies for an additional 189,000 Affordable Care Act marketplace enrollments involving deceased individuals or people also covered by Medicare, Medicaid or CHIP, HHS Secretary Robert F. Kennedy Jr. said Wednesday. The Centers for Medicare& Medicaid Services estimates the…
According to news reporting out of Taipei, Taiwan, by NewsRx editors, research stated,“ This study aims to assess the impacts of a pay-for-performance program on health care resource utilization for patients with schizophrenia in Taiwan. Our news journalists obtained a quote from the research from Taipei Medical University,“ Patients were selected from…
AM Best has affirmed the Financial Strength Rating of A+ and the Long-Term Issuer Credit Ratings of“ aa” of Aflac Life Insurance Japan, Ltd., American Family Life Assurance Company of Columbus, American Family Life Assurance Company of New York and Continental American Insurance Company. These companies represent the life/health insurance subsidiaries of…
The following information was released by the Henry J. Kaiser Family Foundation:. Authors: Abby Sachar, Alice Burns, Jennifer Tolbert, and Amaya Diana. The Social Security Disability Insurance program provides monthly benefits to people who are unable to work on account of a long-term disability.
Authors: Matt McGough, Justin Lo, and Cynthia Cox. Enrollment in the individual health insurance market fell 18% between June 2025 and June 2026. In total, we estimate that individual market enrollment has fallen by over 4.6 million people, from 25.2 million in June 2025 to 20.5 million in June 2026.
Ninth Circuit revives lawsuit over AmeriBen disclosure of health data
The ruling sends the case back to federal court, where the plaintiffs can continue pursuing claims against the benefits administrator.
Social Security benefits include Old-Age, Survivors, and Disability Insurance, and Supplemental Security Income. On average, Social Security retirement benefits will increase by $75 per month. Nearly 72 million Social Security beneficiaries will see a 3.6% cost-of-living adjustment beginning in January 2027.
Business Court judge denied Tuesday the State Health Plan's request for a temporary restraining order to halt Atrium Health's counterproposal for the plan's more than 750,000 members. Atrium, which owns Atrium Health Wake Forest Baptist, unveiled on Oct. 6 its own 2027 healthcare coverage plan for SHP members. Atrium claims its plan provides lower co-pays…
A Superior Court judge denied the State Health Plan's request for a temporary restraining order against Atrium Health's "Affordability Program" on Tuesday. While other legal pathways continue to be explored, the Plan is now forced to consider all options to keep the Plan solvent for 2027 and beyond, which includes having to raise all member premiums, whether…
Americans question whether retirement plans can keep up with longer lives
Americans are questioning whether retirement planning can keep up with longer lives, rising healthcare costs and the risk of running out of money.
UnitedHealth Group is gaining steam on a turnaround as it heads into a critical enrollment season for its Medicare Advantage business. The Eden Prairie- based health care giant reported third quarter results Tuesday that surpassed profit expectations, showing ongoing progress under chief executive Stephen Hemsley toward profitability growth that made…
UnitedHealth beats Q3 expectations, hikes 2026 guidance
UnitedHealth Group raised its 2026 adjusted earnings forecast for the third time this year after reporting strong Q3 results.
What 70% doesn’t tell you
Is the long-term care statistic real?
Blue Cross faces Michigan lawsuit over alleged monopoly and pricing practices
Michigan’s lawsuit challenges Blue Cross rules governing competition among member plans and alleges its market power has hurt employers, patients and health care providers.
SARASOTA— Sarasota Memorial Health Care System has notified its patients with UnitedHeathcare Medicare Advantage plans that they may not have coverage for treatment rendered after Dec. 31. All of SMHCS' providers— its two hospitals, in Sarasota and Venice; its outpatient and urgent care centers; and all First Physicans Group practices— would be considered out…
Major insurers, like UnitedHealth, Centene and state Blue Cross plans, have shuttered plans that they viewed as unprofitable in certain markets, leaving some people with fewer choices of policies, and even more limited choices of doctors in 2027. In some rural counties from Oregon to New Hampshire, older Americans shopping for private Medicare Advantage plans…
The New Mexico Office of Superintendent of Insurance has approved 2027 health insurance premium rates for the small group health insurance market. The carriers offering small group coverage in New Mexico in 2027 are:. ·Blue Cross Blue Shield of New Mexico· Presbyterian Health Plan· Presbyterian Insur- ance Company· UnitedHealthcare of New Mexico·…
Rethinking the status quo can lead to long-term savings on healthcare
Benefit enrollment season is an ideal time to overcome this bias by systematically evaluating healthcare benefits to reduce costs and make long-term financial plans more efficient.
