The Health Care Blog
JANUARY 30, 2025
In 2010 in Texas, the birthplace of nonprofit health insurance, the for-profit Texas Blues spent 65 cents of each dollar on medical care. In 2010, Wellpoint planned to hike their premiums by 39%before the CA attorney general stepped in. What does the playbook look like when the obligation is to increase shareholder value?
Association of Health Care Journalists
APRIL 4, 2025
Internal and external appeals As we have seen over the past few years, the right to appeal health insurers adverse decisions is critically important for all consumers, and since 2010, the ACA has allowed all consumers (except those in grandfathered health plans) the right to appeal denied claims, Norris said.
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Association of Health Care Journalists
APRIL 1, 2025
Fifteen years ago, when Congress passed the ACA (officially the Patient Protection and Affordable Care Act ), journalists and consumers recognized that the law provided Americans with health insurance choices that were previously nonexistent. This story is the second in a series. Read the first here.
The Health Care Blog
MARCH 2, 2022
Medicare Advantage (Advantage), originally conceived in 1997 during the Clinton Administration as ‘Medicare + Choice’, has progressively grown and become an established health insurance option for those 65 and older.
NC Health News
DECEMBER 9, 2024
Many people also dont think about whether a rehabilitation facility , durable medical equipment provider or home health agency is in their network when they enroll in an Advantage plan, said Gina Upchurch, executive director of Durham-based Senior PharmAssist.
The Health Care Blog
DECEMBER 16, 2024
Phase I- Health Maintenance Organizations and Delegated Risk Capitation In response to a long run of double-digit health cost inflation following the passage of Medicare in 1965, the Nixon administration launched a bold health policy initiative- the HMO Act of 1973- to attempt to tame health costs.
Maternal Health Task Force
MARCH 18, 2024
She is currently a Fellow in the Commonwealth Fund Fellowship in Minority Health Policy and is enrolled in the Harvard School of Public Health MPH-45 program in Health Policy with a concentration in Maternal and Child Health. By: Jodian Pinkney , Infectious Diseases Physician.
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