health plans

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Original Technorati articles tagged “health plans”

• in Technology
  LowestMed to Launch A Much Needed Prescription Drug Comparison App
  LowestMed to release an app to help save consumers hundreds on prescription medicine.
  by makobiscribe / on Jan 17, 2012

Latest blogosphere posts tagged “health plans”

 

• Medicare Special Needs Plans: MedPAC Recommendations on Future of Special Needs Plans

  
  Piper Report on Medicare, Medicaid, and Health Reform — Authority: 98
  Special Needs Plans (SNP) are part of the Medicare Advantage program and were created by the Medicare Modernization Act of 2003 (MMA). There are three types of SNPs, each intended to provide coordinated care for Medicare beneficiaries that meet specific criteria . Institutional SNPs (I-SNP) serve ...
  5 days ago

• The longest ever study of consumer-directed health plans

  
  The Incidental Economist — Authority: 586
  It’s by  Paul Fronstin, Martín Sepúlveda, and M. Christopher Roebuck in the latest Health Affairs  and spanned four years, 2007-2010. The study also exploits the natural experiment of one, large, midwestern manufacturer that fully replaced its PPO with a CDHP + HSA option (consumer directed health plan + ...
  6 days ago

• Former WellCare Chief Executive Officer Todd S. Farha, Others, Guilty Of Health Care Fraud

  
  — Authority:
  … Todd S. Farha, 45, of Tampa, was convicted of two counts of health care fraud; former WellCare Chief Financial Officer Paul L. Behrens, 51, Odessa, Fla., was convicted of two counts of making false statements relating to health care matters and two counts of health care fraud; William L. Kale, 63, of Oldsmar, ...
  6 days ago

• Consumer-directed health isn’t always so healthy

  
  — Authority:
  By Jane Sarasohn-Kahn First Posted at Health Populi on 06/10/13 Giving health consumers more skin in the game doesn’t always lead to them making sound health decisions. Over four years in consumer-directed health plans, enrollees used one-quarter fewer visits to doctors every year and filled one fewer prescription ...
  1 week ago

• Multi-State Health Plans in Health Insurance Exchanges: OPM Final Rules

  
  Piper Report on Medicare, Medicaid, and Health Reform — Authority: 98
  The federal Office of Personnel Management (OPM) had a tricky job in setting rules for multi-state health plans (MSP), which eventually will be offered in all states through  Health Insurance Exchanges (HIX). The OPM had to take decide how to allow for disparate state and federal requirements for exchange-based ...
  1 week ago

• Maternity benefits excluded for daughters –never occurred to me

  
  — Authority:
  I learned something new today from Kaiser Health News : Employer health plans routinely cover pregnancy costs for workers and their spouses—but not necessarily daughters. According to a handful of new complaints filed with the federal government, that’s sex discrimination, and the Affordable Care Act doesn’t ...
  1 week ago

• Updated IRS Form 720 available for Health Plans to Pay new ACA fee due July 31

  
  — Authority:
  June 5, 2013 With health plans or policies facing a July 31 due date to pay the first patient-centered outcomes research fees, IRS has issued a revised Form 720 and instructions. Filers will enter covered lives subject to the $1 fee for the 2012 plan or policy year in Part II of Form 720 (line 133) to calculate the ...
  1 week ago

• ikaSystems CEO Joe Marabito on transforming health plan IT systems (transcript)

  
  — Authority:
  This is the transcript of my recent podcast interview with Joe Marabito, CEO of ikaSystems. We discuss the complexities of the health plan IT world and how health reform is providing new opportunities for administrative innovation.   David Williams : This is David E. Williams from the Health Business Group ...
  1 week ago

• Language Enables Health Plans to Reduce Dialysis Costs Up to 90%

  
  — Authority:
  Language Enables Health Plans to Reduce Dialysis Costs Up to 90% KING OF PRUSSIA, Pa., June 4, 2013 /PRNewswire/ — DialysisPPO, founded in 2006 to help employer-group health plans (“EGHPs”) manage the high cost of chronic, long-term dialysis – typically for the treatment of End-Stage Renal Disease ...
  2 weeks ago

• Quick & Easy Ways to Check Your Account Balance

  
  — Authority:
  If you’re in a hurry and need to check on your account balance fast, here are 3 quick ways to do so: Simply register your account for online access (if you haven’t) and log into your personal account at www.sterlinghsa.com . Once you’ve set up your online account, you can also use your mobile device to ...
  2 weeks ago

• Coordination of benefits: What health plans are doing about it (podcast)

  
  — Authority:
  When patients have coverage from more than one health plan, their claims go through a “coordination of benefits” (COB) process that is fraught with complexity, expense and errors. CAQH , an alliance of health plans and trade associations, focuses on the development of tools to address issues like this one. In ...
  2 weeks ago

• ObamaCare to trigger health insurance cancellation notices

  
  — Authority:
  WASHINGTON –  New health insurance rules under ObamaCare could lead to a host of personal insurance plans being canceled as early as this fall, a scenario expected to cause consumer confusion. Under the federal overhaul, those policies that cannot meet new insurance plan standards may be discontinued. This means ...
  2 weeks ago

• A Call For Papers: HIX Reloaded

  
  Health Care - From Policy to Practice — Authority: 105
  We are pleased to announce HIX Reloaded (formerly the Health Insurance Exchange Congress), taking place the week of November 11 in Baltimore. We’re playing in a dynamic marketplace, where seemingly every day there’s new information, guidance and regulations when it comes to healthcare reform, and more ...
  2 weeks ago

• Narrow networks and health insurance exchanges: I’m quoted

  
  — Authority:
  National health plans and high priced providers are staying away from California’s new health insurance exchange at least for now. But other health plans have signed up; some of which are offering affordable benefit plans with narrow provider networks. I’m quoted on how narrow network plans are gaining a foothold ...
  2 weeks ago

• Health Care Reform May Not Cover Weight Loss Surgery

  
  — Authority:
  As weight loss surgery becomes more popular, more and more health insurance companies are covering procedures such as lap-band and bariatric surgery to help obese people lose weight.  Many insurers have found that the price of the procedure is cost effective since many of these individuals find themselves healthier ...
  3 weeks ago

• Aetna video deserves its prize

  
  — Authority:
  Aetna won an Award of Distinction  for its short videos designed to help members comprehend and use their benefits. I’m generally a curmudgeon when it comes to such videos and their cousin the infographics. I typically find them cutesy, patronizing and generally useless. The animated people and simulated ...
  3 weeks ago

• Healthcare Reform Update: The Impact of New Regulations

  
  — Authority:
  More important milestones are approaching related to the Affordable Care Act (ACA). Under ACA, the Patient-Centered Outcome Research Institute (PCORI) was formed. PCORI, a nonprofit corporation, was created to research and evaluate clinical effectiveness of medical treatments. ACA stipulates that this entity will be ...
  3 weeks ago

• Some unions protest Obamacare’s impact on Multiemployer Health Plans

  
  — Authority:
  by Kay Tillow The Affordable Care Act (ACA) of 2010, also known as Obamacare, presents challenges to the multiemployer plans through which some unions bargain collectively to provide health care insurance for their members.  These plans, often called Taft Hartley Plans, currently cover about 26 million ...
  3 weeks ago

• Wisconsin Hospitals Make Cuts Due to Sequestration, High Deductible Health Plans

  
  — Authority:
  Just pointing out the obvious here:  when people don’t seek health care because their deductible is too high, they are effectively blocked from getting the care they need.  And also, the economy suffers.   Sequester, high deductible insurance leads to Ministry staff cuts – News – WSAU News/Talk 550AM ...
  3 weeks ago

• Harvard Pilgrim CEO Eric Schultz discusses consumer engagement and transparency (transcript)

  
  — Authority:
  This is the transcript of my recent interview with Harvard Pilgrim’s CEO Eric Schultz. An audio version is available here . David E. Williams :  This is David Williams, President of the Health Business Group and author of the Health Business blog. I’m here today with Eric Schultz, President and CEO of ...
  4 weeks ago

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