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22 Nov 2020, 1:45 pm
The legislation amends Michigan’s public health code (PHC) by adding Article 18, which establishes disclosure requirements and limitations on payments for out-of-network providers (i.e., providers that do not participate in a patient’s health benefit plan) in certain circumstances. [read post]
21 Jul 2022, 2:05 am
One of the biggest snags is that the majority of health plans offered by large providers are limited to a geographic area or network. [read post]
22 Nov 2022, 9:05 am
Lack of Medical Necessity Most health plans have unique procedures for determining the medical necessity of a treatment or healthcare service. [read post]
15 Feb 2010, 8:50 pm
The suit also names UnitedHealth Group Inc. and Oxford Health Plans LLC, who have acquired Health Net. [read post]
16 Jan 2017, 8:00 am
The Arizona Legislature reconvened last week, and I have little doubt that legislators have more plans to attack women’s health care. [read post]
21 Nov 2019, 6:18 am
“The nurses said they plan to strike unless an agreement is reached. [read post]
29 Jan 2021, 6:15 am
This move is intended to provide Americans with health care access during the COVID-19 pandemic. [read post]
12 Jun 2017, 1:51 pm
In a time when advances in medicine are providing longer, more fulfilling lives for our family members with special needs, it is more important than ever to take advantage of all the financial planning tools available for their specific needs. [read post]
1 Jul 2009, 11:59 am
Under the new law, the provider should expect to be reimbursed by the plan directly, irrespective of the terms of the patient's member handbook. [read post]
10 Apr 2022, 6:00 am
Under his plan, the state “cut nearly a third of state psychiatric hospital beds reserved for children, redirecting resources to “community-based and outpatient mental health programs” intended to provide services to children in their homes, eliminating the need for inpatient care. [read post]
20 Mar 2018, 12:07 pm
CMS states that it “will be re-examining its expectations for Medicare Advantage plans and qualified health plans (QHPs) offered through the federally facilitated exchanges, and calling on all health insurers to release their data. [read post]
28 Apr 2014, 9:07 pm
The Los Angeles Times: Nearly 7 in 10 Americans say health plans should cover birth control, by Karen Kaplan: Among the various provisions of the Affordable Care Act, few are as controversial as the one requiring health insurance providers to... [read post]
18 Mar 2013, 8:15 pm
Bloomberg News: Michigan Judge Blocks Health-Care Birth-Control Mandate, by Margaret Cronin Fisk: The U.S. health-care reform’s mandate requiring employee insurance plans to provide coverage of contraception was blocked by a federal judge in Michigan. [read post]
28 Aug 2013, 1:17 am
Leading Healthcare Practices and Training: Defining and Delivering “Disability-Competent Care” The CMS Medicare-Medicaid Coordination Office is facilitating a webinar series for interested providers and health care professionals, front-line staff with health plans and practices, and stakeholders to introduce and explore... [read post]
5 Jun 2019, 1:11 pm
CareFirst BlueCross BlueShield and LifeBridge Health hope that combining to fund innovative health startups can suggest ways to cut costs and find efficiencies across the payer-provider relationship. [read post]
6 Aug 2012, 5:33 pm
The Washington Post: Parents’ insurance covers children up to age 26 — but not for pregnancy, by Michelle Andrews: The health-care overhaul provides a safety net for young adult children, who can now stay on their parents’ health plans until... [read post]
2 Oct 2013, 6:22 pm
For a certain value of "success:""Louisiana’s top health-insurance provider said that not a single person enrolled in a new health-care plan offered through the Affordable Care Act on its first day." [read post]
7 Jul 2011, 8:39 am
As rational actors, she expects that more and more employers will simply opt out of the health care insurance market one way or another: gaming the system to avoid coverage requirements, paying fines that are less costly than insurance, and/or handing employees cash to put towards their own health insurance rather than arranging for a group plan, leaving the range of future health plans to be hammered out by insurers, state health insurance… [read post]
11 Nov 2013, 7:12 am
“These rules mark an important step in ending the disparities that exist in insurance plans, and will provide families nationwide with critical coverage and protections that fulfill their health needs. [read post]
12 Dec 2010, 11:45 pm
Kelson of InSight Health Services Holdings Corp. [read post]
