The State Health Plan's Board of Trustees decision to establish a tiered preferred provider network for its more than 750,000 members drew pushback on Friday from Atrium Health, which is not included in the top tier. Meanwhile, a statewide advocacy group claims that Atrium's current absence as a Tier 1 State Health Plan provider could derail its plan to…
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The following information was released by the Cincinnati USA Regional Chamber:. A benefits package is an integral way for your small business to invest in your employees. It not only helps to retain qualified workers but also keeps them productive, satisfied and feeling valued.
South Floridians enrolled in certain Medicare Advantage plans could soon find themselves locked out of in-network care with the University of Miami Health System. UHealth patients insured through a Medicare Advantage plan that is part of Florida’ s Preferred Care Network, a UnitedHealthcare-owned company, are on notice: If UHealth and United don’ t make a new…
The news journalists obtained a quote from the research from Yonsei University:“ In particular, the actual loss insurance industry has strongly requested access to the administrative data on health care records and demographic and socioeconomic information compiled by the National Health Insurance Service. We compare the legal provisions and public…
2026 JUL 21– By a News Reporter-Staff News Editor at Vaccine Daily– Fresh data on Immunization and Public Health- Influenza Vaccines are presented in a new report. According to news reporting originating from Luzern, Switzerland, by NewsRx correspondents, research stated,“ We studied the long-term effect of a randomized informational nudge on influenza…
Mississippi had one of the nation's largest declines in the Affordable Care Act health insurance exchange enrollment based on early 2026 numbers, meaning that it has become even more difficult for the state's working poor to garner medical care. According to The Associated Press, Mississippi's ACA health insurance exchange enrollment declined 26.4% from…
2026 JUL 21– By a News Reporter-Staff News Editor at Insurance Daily News– Current study results on Managed Care have been published. According to news reporting out of Providence, Rhode Island, by NewsRx editors, research stated,“ Medicare Advantage plans use prior authorization to manage health care use. Our news journalists obtained a quote from the research…
2026 JUL 21– By a News Reporter-Staff News Editor at Insurance Daily News– New research on Managed Care is the subject of a report. According to news reporting from Waltham, Massachusetts, by NewsRx journalists, research stated,“ Patients with end-stage kidney disease have a high rate of hospitalizations related to fluid overload and infections.
CalOptima Health, Orange County "s health insurer for the poor, will be added next year to the medical insurance plans offered by Covered California. The move means that CalOptima members who lose their Medi-Cal coverage can stay with CalOptima— and its doctors— through Covered California, the health insurance marketplace established by the Affordable Care…
Richard Blumenthal, a Democrat from Connecticut, and Sen. Josh Hawley, a Republican from Missouri, sent letters this past week to the CEOs at these insurance companies, demanding more information about their process for denying or approving these coverage requests. Last month, a new report from the Office of Inspector General at the U.S. Department of Health and…
These changes are contrary to Vermont's long-held "community rating" which mandates that all people in the same group pay the same amount. Prior to the establishment of Vermont's community rating, insurers denied coverage to people, refused to cover current and pre-existing conditions, and charged women higher rates than men. Governor Scott's focus on the…
Health insurance is taking a growing bite out of Wyoming paychecks, and residents say the financial strain is reaching a breaking point. Data compiled by WalletHub, a personal finance company, claims average health insurance premiums is 17% of the median household income in Wyoming. In Wyoming, a mid-level "silver" plan— which offers "low premiums and moderate…
Health insurance is taking a growing bite out of Wyoming paychecks, and residents say the financial strain is reaching a breaking point. Data compiled by WalletHub, a personal finance company, claims average health insurance premiums is 17% of the median household income in Wyoming. In Wyoming, a mid-level "silver" plan— which offers "low premiums and moderate…
Alice Thornton has spent more than two decades treating people living with HIV in Lexington, Kentucky. Her team tends to "cringe" anytime they hear about patients having to fill out lots of paperwork, like when applying for Social Security Disability payments, because it can be a difficult, burdensome process. Starting Jan. 1 in most of the country, some enrollees—…
It’ s a heightened concern for the estimated million-plus farmworkers who are U.S. citizens or legal permanent residents, as new work requirements kick in for the federal-state healthcare program that serves low-income and disabled Americans. “Having a work requirement— having to create more paperwork and more proof— is certainly extremely challenging for…
A year after Secretary of U.S. Health and Human Services Robert F. Kennedy Jr. announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won't implement all the promised initiatives. This article first appeared on KFF Health News. Greg Murphy, a physician who…
Today, Subcommittee on Health, Employment, Labor, and Pensions Ranking Member Mark DeSaulnier, and Committee on Education and Workforce Members Rep. Health insurance is, fundamentally, a promise between consumers and their health plan, "saidCommittee on Education and Workforce Ranking Member Robert C." Bobby "Scott. TheConsumer Health Claim Assistance Act,…
Hundreds of Walla Walla County residents can no longer afford health insurance after the expiration of the enhanced Affordable Care Act subsidies under the Trump administration. The change is likely to create a ripple effect, resulting in economic losses and increased medical debt. "Working-class people and middle-class people are being squeezed out," said…
2026 JUL 20– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators publish new report on Life Science. According to news reporting from Baltimore, Maryland, by NewsRx journalists, research stated,“ Formulary exclusions and drug utilization management, including prior authorization and step therapy, reduce drug spending but may limit…
2026 JUL 20– By a News Reporter-Staff News Editor at Health Policy and Law Daily– According to news reporting originating from Washington, D.C., by NewsRx journalists, a trademark application has been made for“ MEMORIAL HERMANN HEALTH PLAN MEDICARE ADVANTAGE PLANS HEALTH PLAN COMMERCIAL GROUPS” by William H. Dietrich Conley Rose, P.C., representing Memorial…
