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News
Providers, insurers grapple with narrow-network backlash
By Paul Demko | July 21, 2014 | Basic Web Basic Web Subscription Details
Narrow networks are a reality of the new health insurance landscape. Nearly half of all insurance plans sold on the public exchanges in 2014 were narrow network plans, defined as those with less than 70% of area hospitals included, according to an analysis by the research firm McKinsey & Company.
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Vital Signs
Despite cuts, Medicare Advantage benefits, premiums largely unchanged in New York
By Paul Demko | July 19, 2014
Four years after passage of the federal healthcare law, benefits and premiums for Medicare Advantage plans in New York are largely unchanged, according to an analysis conducted by the Medicare Rights Center.
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News
Reform Update: Insurers, providers may need to work harder to educate ACA's newly covered
By Rachel Landen | July 17, 2014 | Basic Web Basic Web Subscription Details
Millions of Americans gained health insurance coverage under the Patient Protection and Affordable Care Act this year, but the influx apparently has not yet translated into patients packing doctors' offices. That may reflect a lack of understanding about how and where to seek care—and a lack...
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News
CHI rebrands insurance operations as Prominence Health
By Melanie Evans | July 15, 2014 | Basic Web Basic Web Subscription Details
Catholic Health Initiatives, Englewood, Colo., announced it will operate its health plans and related services under the newly renamed subsidiary Prominence Health. The company was formerly known as CollabHealth Managed Solutions.
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Information
Convenience, fixed prices boost demand for doctor visits via Web, text
By Los Angeles Times | July 14, 2014
Online medical exams and retail clinics offer a convenient, low-cost alternative to long waits at primary-care offices. Consumers seeking convenience and predictable prices are being driven to search for medical services available at extended hours and for a fixed fee. But critics of the services...
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Magazine
Small business exchanges off to rocky start
By Paul Demko | July 12, 2014 | Print Magazine Print Magazine Subscription Details
Health insurance marketplaces for small businesses have largely been a bust in their first year of operations.
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News
Compounding pharmacists battle for solution to painkiller overuse
By Steven Ross Johnson | July 11, 2014 | Basic Web Basic Web Subscription Details
Compounding pharmacists say they can offer a possible answer to the continuing overuse of opioid painkillers across the country, but decisions from pharmacy benefit managers to limit coverage of some custom medications could squash that solution before it is extensively tried.
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News
Most insurers hit medical-loss ratio requirements: GAO
By Paul Demko | July 10, 2014 | Basic Web Basic Web Subscription Details
Roughly three-quarters of health insurers spent enough money on medical care to avoid paying refunds to their customers in 2011 and 2012, according to a report issued by the U.S. Government Accountability Office. Insurers operating in the individual, small group and large group markets spent a...
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News
Small-business exchanges hope for a better 2015 after rocky start
By Paul Demko | July 10, 2014 | Basic Web Basic Web Subscription Details
Health insurance marketplaces for small businesses have largely been a bust in their first year of operations. That's in large part because online enrollment hasn't been available for businesses in the 32 states relying on the federal HealthCare.gov website.
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Information
WellPoint CEO: Insurer readies for technology wave
By Associated Press | July 10, 2014
WellPoint CEO Joseph Swedish says that when people ask what a doctor's appointment will be like in the future, they assume that patients will physically have to visit an office. They're wrong, the insurance executive says.
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