The rise in high-deductible health plans due to the ACA’s lack of cost-sharing restrictions in some areas may be leading to high maternity out-of-pocket spending, researchers have...
Maine law now requires payers to provide hearing aid coverage, but leaves self-insured companies exempt from covering them.
Representative Jim Handy (D-ME) has noted both social and professional...
Two major payers were unable to seal their deals by the first day of the new year due to conflict over the appropriate cost of care.
UnitedHealthcare and Houston Methodist have ended their...
Consumerism in healthcare will steer many payer decisions in 2020, perhaps more obviously than in the past.
“There are a lot of pressures out there in 2020. It’s the time to step up and...
The clash between healthcare expectations and the reality of the health system leads Americans wanting healthcare reform. This presents a roadblock when the political system is resistant to change the...
Twenty-eight percent of the uninsured population could have enough premium tax credits to obtain zero-premium bronze-level health plans in 2020 due to silver-loading, a Kaiser Family Foundation (KFF)...
Twenty-three senators are concerned about the administration's promotion of short term, limited duration plans that may not meet the ACA’s coverage and pre-existing condition protection...
UnitedHealthcare (UHC) has announced a partnership with Walgreens and AARP that will open service centers for Medicare members in the store and provide added benefits to UHC’s Medicare Advantage...
The average annual growth in premium and deductible costs for workers outpaced their median income growth from 2008 to 2018, a Commonwealth Fund study discovered.
“Over the last decade, employer...
Insured Americans are spending more out-of-pocket costs on behavioral health services, such as treatment for substance abuse, than on conditions like diabetes and heart failure, according to a study...
The Medicare premium for premium will rise nearly seven percent in 2020, from $135.50 in 2019 to $144.60 next year, while the premium for Part A will rise almost five percent from $437.00 to $458.00 a...
Medicare coverage gaps may cause considerable financial distress for the most seriously ill patients, with 53 percent of seriously ill Medicare beneficiaries admitting they struggle to pay for care,...
Recent guidance released by CMS is enabling the expansion of supplemental benefits in Medicare Advantage plans for contract year 2020, including adult day care services, according to a new study.
The...
Patients with diabetes enrolled on a high-deductible health plan have a hard time paying for their brand-name medications, having a negative impact on medication adherence, according to new data...
UnitedHealthcare (UHC) is combatting the opioid epidemic and high healthcare costs with new physical therapy and chiropractic care benefits to prevent, delay, or in some cases substitute for invasive...
Ensuring members’ medication adherence is a step toward decreasing payers’ overall costs and improving patient outcomes.
But medication adherence is highly personal territory that can be...
Consumers have access to less than half of the first generic drugs approved in the past three years and improving access would save seniors over $4 billion per year, the Association for Accessible...
To resolve the lack of dental health plan coverage available for Medicare enrollees, the Kaiser Family Foundation (KFF) outlined five ways to improve seniors’ dental health plan...
Specialty drugs, which often receive the brunt of healthcare spending deprecation, may be able to decrease healthcare spending by $4 billion per year if administered at the right locations, a...
With its newly consolidated company, Cigna and Express Scripts are diving into the costly field of gene therapy and intend to increase members’ access through their new program, Embarc Benefit...
