WASHINGTON, April 29– Public Citizen issued the following statement:. The U.S. Department of Health and Human Services Office of Inspector General released a report today, which found that Medicare Advantage plans deny needed care that should be covered to tens of thousands of people a year. Eagan Kemp, health care policy advocate for Public Citizen, released the…
Health Insurance Newsletter
"It seems like this new phased approach still allows them to move forward with everything, but in a way that is manageable… to maybe take smaller bites of the apple," said Loren Anthes, who chairs Community Solutions' Center for Medicaid Policy. According to the Ohio Department of Medicaid, one of those reforms will still be up and running in July.
Medicaid Patient Alleges Blue Cross Stalled Pancreas Treatment
At a final hearing in front of a state agency Dec. 30, 2020, Blue Cross agreed to cover a complex treatment option in Virginia, the suit says. Although approval for the procedure finally was granted, says the complaint, filed last month in the First Judicial District Court on behalf of Medicaid patient Julie Graham, Blue Cross breached its contract, violated the…
Florida Sober Home Operator Gets 6 Years In Prison In $31.3M Fraud
A 49-year-old Florida man who used people struggling with addiction to bilk insurers out of $31.3 million will spend six years behind bars, a federal judge decided Wednesday.
A Fulton County court has ruled Anthem Blue Cross Blue Shield patients are to remain in-network for Northside Hospital doctors and facilities inde? nitely, until the state Department of Insurance reviews the ongoing Northside- Anthem dispute. Recently, Fulton County Superior Court Judge Rachelle Carnesale extended an injunction keeping Anthem patients…
Community Solutions' Center for Medicaid Policy. Under the declaration, Ohio and other states were unable to take people off Medicaid, even if they became ineligible. But the worry is underfunded and understaffed counties are facing the task of combing through the entire Medicaid population to disenroll ineligible peopleā all within a 90- day deadline…
Owner of Counseling Agency and Supervising Manager Sentenced on Healthcare and Wire Fraud Charges. SHREVEPORT, La.- United States Attorney Brandon B. Brown announced that Marty T. Johnson and Keesha Dinkins were both sentenced today by United States District Judge Donald E. Walter in connection with a healthcare fraud and wire fraud scheme they were involved…
Apr. 16ā More than 8,000 nurses and other health care workers at 15 Sutter Health medical facilities across Northern California, including in Santa Rosa, are planning to strike Monday in hopes of moving along contract negotiations. "We're striking to try to keep our retirement and benefits, to make sure we're safe with enough protective equipment and to have the…
Maine Health claims $13 million in underpayments, by its lights, and $70 million in non-payments from Anthem, which controls 11% of the national market. It's also Maine's largest insurer, and Blue Cross franchisee. Its presence here dates to 2000, when it acquired the ailing Maine Blue Cross- Blue Shield, the state's largest health insurerā and non-profit, as most…
āUnitedHealth Group thumped Wall Streetā s first-quarter expectations and raised its 2022 forecast, as growing Medicare Advantage coverage and care delivery once again bolstered the health care giant. The nationā s largest health insurance provider reported on Thursday adjusted earnings of $5.49 per share as total revenue grew more than 14% to $80.1…
This week in California, Gov. The other half would be used to set up an in-state insulin manufacturing facility, as outlined in a budget proposal by the stateā s Department of Health Care Access and Information. The initiative is unique for a state, and it comes as Congress debates its own insulin cost measures, including limiting what people pay out of pocket to $35 a…
In a last-ditch attempt to change the health care laws in the Bay State, Gov. Charlie Baker appeared before a joint legislative committee to sell them on a plan he first proposed in 2019.. Jay Livingstone, a Democrat from the Back Bay, asked Baker if this sort of proposal has a model or has been studied before.
WPS Health Insurance and its wholly owned subsidiary, The EPIC Life Insurance Company Ā®, are planning to expand Medicare supplement insurance, already being sold in 16 states, to 29 more states over the next 36 months. The insurance plans from WPS Health Insurance and The EPIC Life Insurance Company offer customers no-worry, no-hassle service backed by…
Sidecar Health anticipates quickly expanding the offering to additional states. Sidecar Health is about providing our members with complete transparency and the ability to shop for the best care possible independently,ā said Patrick Quigley, Founder and CEO of Sidecar Health.ā Expanding our offerings to employers was naturally the next step for Sidecar…
Maryland is slated to launch a paid family and medical leave insurance program for nearly every worker statewide after the Democrat-controlled General Assembly overrode Gov. The decision by lawmakers to launch the paid leave program over the Republican governorā s objections came amid a series of weekend votes to overturn Hoganā s Friday vetoes of a number…
HIV/AIDS Insurance Plan: Broward Health Seeking āAppallingā 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 seekingā unacceptableā cost increases for in-network services.
Editorsā note: The Chicago Tribune and Injustice Watch teamed up to report on the challenges facing Illinoisā 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…
WASHINGTONā 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 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.
