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Health/Employee Benefits News
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April 8, 2022
California will begin offering medical care to unauthorized immigrants this week.

HIV/AIDS Insurance Plan: Broward Health Seeking ‘Appalling’ Rate Hikes

A Medicare Advantage health insurance plan that connects Floridians living with HIV/AIDS with medical services is severing its contract with Broward Health amid complaints that the hospital system is seeking“ unacceptable” cost increases for in-network services.

Chicago-Area Advocates Look To Lawmakers To Protect Undocumented Elderly

April 7, 2022

Editors’ note: The Chicago Tribune and Injustice Watch teamed up to report on the challenges facing Illinois’ aging undocumented population. Ortega, 51, immigrated to the Chicago area from Mexico more than two decades ago with her husband, Alfonso Vazquez, and their children, Janeth and Omar. Despite paying taxes that help fund programs such as Medicare and…

Workplace Life, DI And Supplemental Sales Increase In 2021, LIMRA Reports

April 6, 2022

WINDSOR, Conn. April 5, 2022—New annualized premium for workplace life insurance, disability insurance and supplemental health products rose in 2021,…

April 6, 2022
A Texas doctor was convicted of misdiagnosing patients.

Authorities Say Texas Doctor Owes $148M For Ongoing Healthcare Fraud

Zamora Quezada, who owned the Center for Arthritis& Osteoporosis in Texas, was convicted on one count of conspiracy to commit healthcare fraud, seven counts of healthcare fraud and one count of conspiracy to obstruct justice.

Insulin Price Cap Approved By U.S. House As Warnock Pushes For Senate Passage

April 5, 2022

WASHINGTON— The U.S. House on Thursday passed a bill on a bipartisan 232-193 vote that would limit the price of insulin, as congressional Democrats met throughout the day with health care advocates to make their case for the proposal. Raphael Warnock of Georgia and Patty Murray of Washington state held a virtual round table with residents from their states to…

Medicare Is Now Paying For At-Home Covid-19 Tests From Retailers

April 5, 2022

Medicare enrollees can now obtain home Covid-19 tests from certain pharmacies and providers at no cost, the Centers for Medicare and Medicaid Services announced Monday. The move comes more than two months after the Biden administration began requiring health insurers to cover the cost of home tests for most Americans with private insurance.

Clients Buying Medications Through A Health Plan Could Be Throwing Money Away

April 2, 2022

What I found was that every medication I've been prescribed would cost less- much less- if I didn't go through my insurance plan but relied instead on finding stores with the best out-of-pocket pricing or using free GoodRx coupons. For example, one prescription that would cost more than $200 yearly if I used my insurance plan would cost about $50 with GoodRx…

Illinois Still Seeking Answers From Blue Cross

March 31, 2022

Blue Cross divisional senior vice president Krishna G. Ramachandran said the for-profit, multi-specialty clinic, in its "first very specific counter-offer," is demanding a 75% increase in reimbursement rates "even though their rates are already the highest in the Springfield market and tower 60% more than those in the Chicago market." The aggressive stance by…

UMMC Could Be Remvoed From Blue Cross Insurance Network By April 1

March 31, 2022

JACKSON, Miss.– Leaders with the University of Mississippi Medical Center announced Blue Cross& Blue Shield of Mississippi is expected to force UMMC hospitals, clinics, physicians and other providers out of its commercial insurance network by April 1, 2022. Hospital officials said Blue Cross& Blue Shield stopped negotiations with them after their last…

State Slaps Fine On Anthem/Blue Cross Blue Shield

March 31, 2022

Georgia's insurance department has fined Anthem/Blue Cross Blue Shield $5 million for several violations of state law following a months-long investigation. To avoid additional fines, Blue Cross Blue Shield must develop a new process for handling provider complaints, pay claims within the time frames established under state law, and load provider…

First Dollar Publishes U.S. Healthcare Benefits Utilization Findings

March 31, 2022

First Dollar, the health wallet for modern, member-first plans powering software-defined benefits, announced findings today from their survey conducted online within the United States by The Harris Poll. The survey was conducted between February 15 and February 17, 2022 among 1,000 U.S. adults ages 18+ who have healthcare insurance and have a Flexible…

March 30, 2022
Ohio is delaying planned changes to Medicaid.

Blue Cross Blue Shield Hit With Largest Insurance Fine In Georgia History

Insurance and Safety Fire Commissioner John F. King announced Tuesday a $5 million fine against Blue Cross Blue Shield as the result of a months-long Market Conduction Examination into violations.

UnitedHealth To Buy LHC Group For $5.4 Billion

March 29, 2022

UnitedHealth Group is spending about $5.4 billion to delve deeper into home health care with the acquisition of LHC Group. The health care giant said Tuesday that it will pay $170 for each share of LHC’ s stock in a deal expected to close later this year. UnitedHealth, which runs the nation's largest health insurer, plans to add LHC Group to its Optum Health business,…

March 29, 2022
A New Mexico woman is alleging she was discouraged from medical treatment by her insurer.

New York Seeks To Expand Health Coverage Among Immigrants

Nearly 46,000 people in New York who are currently ineligible for public health care programs due to immigration status would gain access to health insurance coverage under proposed state legislation, a report shows.

Survey: Consumers’ Perspectives On Quality Of Healthcare Drops 11 Points

March 28, 2022

NASHVILLE, Tennessee, March 26– Beryl Institute issued the following news release on March 25, 2022:. The Beryl Institute and Ipsos released findings from the eighth PX Pulse, a survey to track current perspectives on patient experience in healthcare across the United States. *Fifty-three percent of U.S. consumers agree, and 14% strongly agree that incivility is…

Ohio Bill To Help Health Insurance Copays Gets Life

March 27, 2022

Dozens of advocacy groups– such as the American Cancer Society, The AIDS Institute, and Ohio State Medical Association– support the measure. The proposal– taking an unusual route of being re-referred to the Rules and Reference Committee, which is directly run by House leaders– likely will get an innocuous amendment and pass the chamber, insiders say.

Allina Health | Aetna Names Robert Wieland CEO

March 24, 2022

St. Louis Park, Minn. – March 24, 2022 – Allina Health | Aetna announced it promoted Robert Wieland, former chief…

A New Health Insurance Program Crafted For Cannabis Businesses

March 24, 2022

–The National Cannabis Risk Management Association announces the launch of a new health insurance program for cannabis companies– Health ReLeaf. "Employers are aware of the challenges associated with controlling health care spending," said Brian McLaughlin, Market Leader for My Benefit Advisor. "One of the most significant risks faced by cannabis companies…

Highmark Health Reports $22B In Revenue Through 2021

March 23, 2022

Highmark Health maintained a strong balance sheet with more than $12 billion in cash and investments and net assets of more than $10 billion as of December 31, 2021. "As we shift from a COVID-19 pandemic to an endemic environment, we are looking forward and building for the future," said David Holmberg, president and chief executive officer of Highmark Health.

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