Health Insurance Newsletter – Page 3 – InsuranceNewsNet

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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.

Blue Cross Blue Shield Of Illinois Fined $339,000 By Illinois Regulators

March 23, 2022

The state has officially stepped in to a situation involving the insurance company Blue Cross Blue Shield of Illinois and Springfield Clinic. Blue Cross Blue Shield filed notifications of these changes in March, leading the state agency to fine Health Care Service Corporation, the parent company of Blue Cross Blue Shield $1,000 per day.

Alabama Lawmaker Pushed To Extend Postpartum Medicaid Coverage

March 23, 2022

HUNTSVILLE, Ala.- An Alabama State Representative is fighting to get a bill passed that will allow new moms to stay insured longer. The postpartum mortality rate for women after birth has increased dramatically in that state of Alabama, mainly as a result of a lack of Medicaid coverage. "I was seven months postpartum when my postpartum depression came on," Jane Adams…

Missouri Lawmakers Seek Lower Drug Prices With Plan To Regulate PBMs

March 23, 2022

Mar. 23— JEFFERSON CITY— Missouri lawmakers waded into a nationwide fight between independent pharmacies and companies that negotiate prescription drug benefits on behalf of health insurers. With smaller, non-chain pharmacies claiming pharmacy benefit managers are unfairly setting drug prices and clawing back a percentage of sales later, the Missouri…

CMS To Provide A Special Enrollment Period For Salvasen Enrollees

March 22, 2022

On January 31, 2022, Wisconsin Insurance Commissioner Nathan Houdek issued an order prohibiting Salvasen Health from issuing new policies and…

March 22, 2022
The Russian invasion of Ukraine is destined to hamper the world economy, a Conference Board speaker says.

Physical Therapist Pleads Guilty To Role In Insurance Fraud Scheme

A licensed physical therapist pleaded guilty in federal court in Boston in connection with an insurance fraud scheme.

Ohio Teachers Pension Board OKs One-Time, 3% COLA Increase

March 21, 2022

The State Teachers Retirement System of Ohio board approved a one-time, 3% cost of living adjustment for eligible retirees starting July 1. The Ohio STRS board eliminated the 60 years old requirement. Teacher Julie Sellers and retiree Elizabeth Jones said in a written, joint statement that "A one-time COLA is a step in the right direction, but falls short of what…

Miami County Confronts ‘Perfect Storm’ In The Opioid Epidemic

March 21, 2022

When Jamie Rogers was arrested last year on drug charges, she started down a path she hopes will finally break the hold that heroin and other opioids had over her. "I don't think I would be sitting here today," she told the Tribune in January, recounting her last arrest and how it led her to Peru's recovery house. Data from the United State Department of Health and Human…

HAFA Goes To DC To Discuss Agent Compensation, No Surprises Act

March 10, 2022

A health insurance agents’ association went to Washington recently as part of its ongoing fight for its members’ ability to…

Anthem Corporate Rebranding To Elevance Health

March 10, 2022

Anthem, Inc. today announced its intent to change its name to better reflect the company’ s business and its bold purpose of improving the health of humanity. Anthem intends to become Elevance Health, Inc., subject to shareholder approval. We must address whole health and the physical, behavioral, and social drivers that impact it,” said Anthem President and CEO…

Millions In California Will Lose Health Coverage If Stopgap Measures Expire

March 7, 2022

Californians who depend on Medi-Cal coverage also will be affected if another pandemic-related measure ends as expected in mid-April. As part of the Families First Coronavirus Response Act, Congress required that states provide "continuous coverage" for beneficiaries of Medicaid coverage, known as Medi-Cal in California, during the public health…

The Hartford’s New Critical Illness Product Covers More Conditions

March 3, 2022

The Hartford, a leading provider of employee benefits and absence management, has introduced a new critical illness insurance 1 product that is designed to cover more health conditions and provide a wider range of benefits based on the severity of an individual’ s diagnosis. “The pandemic has put a spotlight on the value of employee benefits, and we have seen a…

White House: 40% Of Free COVID Tests To Low-Income Areas

March 1, 2022

—The White House says 40% of COVID-19 tests ordered through its program to distribute free at-home rapid tests have gone to Americans in distressed areas. That's an upward revision from an estimate of around 20% of free tests ordered by people in“ high vulnerability Zip Codes” that White House officials had earlier provided to The Associated Press.

Medicare Plan Will Pay Docs Based On Keeping Patients Healthy. Will It Work?

March 1, 2022

Colorado is one of four states partnering with Medicare to try to pay doctors based on whether they can keep their patients healthy, but it's not clear how they're going to do that. Colorado health officials think their partnership with the federal Centers for Medicare and Medicaid Services could help change that. If it works, Medicare could decide to take some…

Survey: 60% Of Seniors Will Struggle With Health Costs Due To Medicare Hike

February 28, 2022

MedicarePlans.com, a trusted platform for affordable health care resources for the elderly and disabled communities, has published a survey report that examines how the recent premium increase for Medicare Part B will affect American seniors. Sixty-five percent of respondents who make $50,000 or less say it will be very or somewhat difficult to afford…

AIG Wins Jury Verdict In Health Insurance Fraud Dispute

February 26, 2022

This week a jury unanimously found that Conduent engaged in insurance fraud and bad faith in connection with the settlement–defenses to Conduent's lawsuit. In the settled case, Texas had sued Conduent under the Texas Medicaid Fraud Prevention Act for $2 billion in civil penalties and treble damages for having allegedly misrepresented to Texas the…

Alleged Hospice Fraud Costs Medicare, Medi-Cal $4.2M

February 25, 2022

Sixteen people, including two doctors, have been charged with felonies after the state attorney general’ s office said it uncovered a scheme in which people who were not terminally ill were enrolled in expensive hospice care without their knowledge by two Inland Empire treatment facilities that fraudulently billed Medicare for millions of dollars.

Justice Department Sues To Block UnitedHealth Acquisition Of Change Healthcare

February 25, 2022

The U.S. Department of Justice issued the following news release on Feb. 24, 2022:. The Department of Justice, together with Attorneys General in Minnesota and New York, filed a civil lawsuit today to stop UnitedHealth Group Incorporated from acquiring Change Healthcare Inc.. "The proposed transaction threatens an inflection point in the health care industry…

Aetna Better Health Awarded Louisiana Medicaid Program Contract

February 22, 2022

–Aetna Better Health of Louisiana, a CVS Health company, today announced that the Louisiana Department of Health intends to award the company a new statewide Medicaid contract through the Louisiana Medicaid Managed Care Program. "We appreciate that the state of Louisiana continues to have confidence in Aetna Better Health's commitment to better health…

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