Search for: "Providence Health System Group Insurance Plan"
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15 May 2011, 2:17 pm
Louise NorrisAnother longtime HWR contributor, Louise reports on the underwhelming decrease in the number of covered lives in Colorado's small group health insurance market.? [read post]
7 Oct 2016, 3:34 am
Other social benefit systems – including Social Security retirement benefits, Social Security Disability Insurance (SSDI), Medicare, and, most recently, health care provided under the Affordable Care Act – have expanded our social safety net, while the workers’ compensation safety net has been shrinking. [read post]
22 Aug 2009, 6:25 am
But in my experience it is clearly not the right number for group plans - where most insured Americans are covered. [read post]
6 Nov 2009, 11:30 am
Medicaid has comprehensive coverage benefits, often better than private insurance plans, yet it can be difficult for people to find a doctor who accepts Medicaid patients, since providers can make much more money treating privately insured patients. [read post]
24 May 2011, 10:13 am
This holding is of utmost importance to healthcare providers and patients who have been denied payment by a health insurance company. [read post]
28 Jun 2010, 2:40 am
The rules – dubbed the Patients’ Bill of Rights – were issued by the Internal Revenue Service, the Department of Health and Human Services’ Office of Consumer Information and Insurance Oversight, and the Department of Labor’s Employee Benefits Security Administration.The Obama Administration timed the rollout of the regulations to coincide with the 90-day anniversary of the enactment of the healthcare reform measure, and is the latest in a… [read post]
3 Dec 2014, 9:46 am
plan administrators and other services providers, and governments on health care, retirement, employment, insurance, and tax program design, administration, defense and policy. [read post]
28 Aug 2007, 10:00 pm
Mixed reviews on pay-for-performance programs Health insurers have been somewhat slow to adopt pay-for-performance programs, and payers and providers consider system imperfect, according to new report published by PricewaterhouseCoopers. [read post]
21 Mar 2012, 3:27 am
Thompson-Reuters News & Insight identifies some of the issues the US Supreme Court will consider: "* Adult children remaining on their parents' insurance coverage through the age of 26. * An end to lifetime limits on the dollar value of benefits available to people with serious medical conditions that can lead to astronomical treatment costs. * Preventive healthcare benefits including free coverage for mammograms and birth control. * For Medicare beneficiaries stuck in the… [read post]
13 Mar 2012, 5:03 am
What the Business Roundtable knows about American health care By Ezra Klein, The Washington Post On Sunday, I reported on new data from the International Federation of Health Plans showing that health-care prices are far higher in the United States than anywhere else. [read post]
7 Dec 2019, 9:54 am
Stamer has worked extensively with domestic and international hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing, utilization management, management services organizations, group purchasing organizations; pharmaceutical, pharmacy, and prescription benefit management and… [read post]
22 Jul 2007, 5:33 pm
"With regard to the relevant purchasers, the Board found that such purchasers "do not include health-care providers and insured employees who are the downstream end users of the parties' respective services. [read post]
26 Apr 2009, 6:16 pm
The changes will generally provide greater Ministerial control, better human resource planning, significant reforms to the complaints and discipline process, a separation of quality assurance from complaints, and more transparency for the colleges. [read post]
21 Aug 2009, 8:16 am
“If you like your health-care plan, you keep your health-care plan. [read post]
11 Feb 2013, 9:01 pm
In this instance, contraceptive coverage without cost sharing would be provided to plan participants and beneficiaries through individual health insurance policies, separate from the group policy through which all other coverage would be provided to plan participants and beneficiaries. [read post]
11 Jul 2007, 3:14 am
They say health insurers that provide group health insurance plans also will likely face higher costs that they would pass on to their customers. [read post]
23 Sep 2009, 5:22 pm
Insurers participating in any state-based exchange that offer additional abortion coverage must segregate from any premium and cost-sharing credits an amount of each enrollee's private premium dollars that is determined to be sufficient to cover the provision of those services. in each state exchange, at least one plan must provide additional abortion coverage and at least one plan must not provide such coverage. health benefits… [read post]
20 Oct 2013, 2:04 pm
In 2009, Swoben, a former data manager for the SCAN health plan which serves California and Arizona, accused SCAN and other insurers of manipulating these scores. [read post]
3 Apr 2020, 12:03 pm
This system provides clear incentives for fraud. [read post]
6 Jan 2009, 6:55 am
While much has happened in the intervening years (deregulation of other aspects of the health care marketplace, consolidation of providers into systems such as Partners, among other things), rate deregulation is one of the factors leading to current higher reimbursements to providers, which translates directly into higher health care insurance premium costs.The invisible hand hasn't been doing too well by the health… [read post]
