Reimbursement
With the final January 31 deadline for open enrollment looming, close to 9 million consumers have signed up for healthcare coverage through the marketplace, according to the Centers for Medicare and Medicaid Services.
Hospital groups and other stakeholders have spoken out against a proposal that would cut 10 percent in payments from the Medicare Part B drug pricing program. It's now up to Congress to decide whether to implement the change recommended this month by the Medicare Payment Advisory Commission.
Deficiencies found in an audit of Cigna-HealthSpring operations has prompted the Centers for Medicare and Medicaid Services to temporarily bar Cigna from enrolling new customers to its Medicare Advantage and stand-alone prescription drug plans, and from marketing efforts, according to CMS.
Unlike insurance sold to individuals and small businesses through online marketplaces, large employers are not required to offer a list of "essential health benefits."
Health insurer Centene Corp. on Monday said it has lost six hard drives containing the health information of about 950,000 beneficiaries.
So-called "skinny plans" aren't allowed, but insurance administrators and many cost-conscious employers are purporting to meet the rules with a new version that excludes another major category: outpatient surgery.
Health insurer Centene Corp. on Monday said it has lost six hard drives containing the health information of about 950,000 beneficiaries.
Deficiencies found in an audit of Cigna-HealthSpring operations has prompted the Centers for Medicare and Medicaid Services to temporarily bar Cigna from enrolling new customers to its Medicare Advantage and stand-alone prescription drug plans, and from marketing efforts, according to CMS.
Some consumers who buy coverage on the health insurance marketplaces in 2017 could see their out-of-pocket costs drop significantly under a federal proposal to create standardized plans, a recent analysis found.
Open enrollment for week 11 ended with close to 400,000 consumers signing up for healthcare coverage, a number four times greater than the week before, according to figures from the Centers for Medicare and Medicaid Services.