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Newswires

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Here are 4 things to know about prior authorization in healthcare

January 30, 2023

Recently two members of our family had to obtain prior authorization from their health insurance. One person wanted a knee replacement by an orthopedic surgeon and his request was approved; the other person wanted a brand-name prescription diabetes medicine and their request was denied. This made us curious to look into what this process entails.

Michigan sees highest Obamacare enrollment since 2016

January 30, 2023

Enticed by expanded federal subsidies, Michiganders keep enrolling in health insurance through the Affordable Care Act's Healthcare. gov marketplace at levels not seen since well before the COVID-19 pandemic. State and federal officials announced Thursday that 322,273 Michigan residents signed up for 2023 insurance on the marketplace during the…

Eberl Claims Service Announces Acquisition of Transcynd Claim Partners

January 30, 2023

–Eberl Claims Service, a leading provider of claims management solutions, is pleased to announce the acquisition of Transcynd Claim Partners, with both businesses now operating together as a unified force in the industry.. Founded in 2006, legacy companies, Winkler Treger and Associates and Strategic Cat Solutions, later rebranded under the name Transcynd…

Where can retirees find affordable dental care? Savvy Senior: How to cover dental care in retirement

January 30, 2023

QUESTION: I had dental insurance through my work for many years, but I lost it when I retired and joined Medicare. ANSWER: Unfortunately, about two-thirds of U.S. retirees don't have dental insurance. Monthly premiums for individual plans range from about $20 to $80.

Mild Upside Seen For Hong Kong Stock Market [Real-Time Trader]

January 30, 2023

The global forecast for the Asian markets is flat to higher ahead of this week's FOMC meeting. Among the actives, Alibaba Group and Henderson Land both fell 0.17 percent, while Alibaba Health Info sank 0.26 percent, ANTA Sports advanced 1.22 percent, China Life Insurance retreated 0.66 percent, China Mengniu Dairy gathered 0.53 percent, China Resources Land…

Florida insurance companies ranked by policy count: How big is yours? [South Florida Sun-Sentinel]

January 29, 2023

State Farm Florida is the third-largest property insurance company in Florida, by policy count. It’ s a fact that the Florida offshoot of the national insurer hasn’ t wanted you to know over the past eight years. State-owned Citizens Property Insurance Corp., the so-called“ insurer of last resort,” is once again the largest property insurer in Florida.

Insurers cashed in on Louisiana's short-lived incentive program. The results were mixed. [The Advocate, Baton Rouge, La.]

January 29, 2023

Jan. 29— In the grim years after Hurricane Katrina, Insurance Commissioner Jim Donelon was desperate to find companies willing to sell homeowners insurance in southern Louisiana. Armed with a $100 million pool, the state offered insurers millions of dollars in government grants if they could sell a certain number of policies in parishes near or below…

Insurers cashed in on Louisiana’s short-lived incentive program. The results were mixed.

January 29, 2023

In the grim years after Hurricane Katrina, Insurance Commissioner Jim Donelon was desperate to find companies willing to sell homeowners insurance in southern Louisiana. Armed with a $100 million pool, the state offered insurers millions of dollars in government grants if they could sell a certain number of policies in parishes near or below Interstate 10…

Special session aims for temporary insurance relief, 'This is truly a crisis'

January 29, 2023

The plan is for the Legislature to put $45 million into an incentive fund to help revive the state's homeowners insurance market ahead of the start of hurricane season June 1. Eleven insurance firms have gone out of business in recent months and others have quit writing policies in Louisiana. Senate President Page Cortez, R- Lafayette, said that in a best-case…

Woodmen Life

January 29, 2023

Prior to WoodmenLife, she held various positions in TPA/vendor management and account management at SilverStone Group, Mutual of Omaha, HUB International, and Lincoln Financial Group. Mascarello earned her bachelor's degree in Business Administration from Bellevue University. She has her Project Management Professional designation from the Project…

Insurers cashed in on Louisiana’s short-lived incentive program. The results were mixed.

January 29, 2023

In the grim years after Hurricane Katrina, Insurance Commissioner Jim Donelon was desperate to find companies willing to sell homeowners insurance in southern Louisiana. Armed with a $100 million pool, the state offered insurers millions of dollars in government grants if they could sell a certain number of policies in parishes near or below Interstate 10…

Special session aims for temporary insurance relief, 'This is truly a crisis'

January 29, 2023

The plan is for the Legislature to put $45 million into an incentive fund to help revive the state's homeowners insurance market ahead of the start of hurricane season June 1. Eleven insurance firms have gone out of business in recent months and others have quit writing policies in Louisiana. Senate President Page Cortez, R- Lafayette, said that in a best-case…

Billions in jobless claims potentially fraudulent

January 29, 2023

Responding to a request from Republican members of Congress, U.S. Government Accountability Office staff pored over federal and state workforce agency findings, inspector general reports and Labor Department estimates for the period from March 2020, when the pandemic began, to March 2022. Unemployment Insurance fraud topped at least $4.3 billion,…

Pharmacy benefit managers good partners

January 29, 2023

You hear the pharmacist say something like, "That'll be $200… oh wait, I didn't run it through your insurance. As an independent pharmacist in San Antonio, I work with PBMs all the time that provide valuable or critical services to their members. The Texas Legislature is meeting in Austin right now, and prescription costs are sure to be on the agenda.

Report: Billions in COVID jobless claims fraudulent

January 29, 2023

Responding to a request from Republican members of Congress, U.S. Government Accountability Office staff pored over federal and state workforce agency findings, inspector general reports and Labor Department estimates for the period from March 2020, when the pandemic began, to March 2022. Unemployment Insurance fraud topped at least $4.3 billion,…

Billions in jobless claims potentially fraudulent

January 29, 2023

Responding to a request from Republican members of Congress, U.S. Government Accountability Office staff pored over federal and state workforce agency findings, inspector general reports and Labor Department estimates for the period from March 2020, when the pandemic began, to March 2022. Unemployment Insurance fraud topped at least $4.3 billion,…

Kennewick man gets 42 months for insurance fraud scheme [Columbia Basin Herald, Moses Lake, Wash.]

January 29, 2023

Jan. 28— SPOKANE— A Kennewick man has been sentenced to three and a half years in federal prison for his role in a complex scheme involving staging fake automobile accidents to defraud insurance companies, making false statements to federal law enforcement and attempting to obstruct a federal investigation, according to a statement released by the U.S….

Kennewick man gets 42 months for insurance fraud scheme [Columbia Basin Herald, Moses Lake, Wash.]

January 29, 2023

Jan. 28— SPOKANE— A Kennewick man has been sentenced to three and a half years in federal prison for his role in a complex scheme involving staging fake automobile accidents to defraud insurance companies, making false statements to federal law enforcement and attempting to obstruct a federal investigation, according to a statement released by the U.S….

Colorado's trying a public option, drug importation and more. What's actually lowering health care costs?

January 28, 2023

The state's Office of Saving People Money on Health Care laid out a plan in 2020 that included passing a partial public option; extending the reinsurance program; launching a statewide purchasing alliance; importing prescription drugs; launching a drug affordability board; and increasing transparency in hospital and prescription drug prices.

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