Susan Morse
Insurers in the individual market are starting work on setting premium rates for this October without federal cost-sharing reduction funds or a reinsurance program.
States qualify by having at least 85 percent of their Medicaid population in managed care or by reducing provider payments rates.
Insurers get no federal funds for cost-sharing reduction payments or a reinsurance program to help stabilize the individual market.
As Congress debates appropriations legislation with the Friday deadline looming, cost-sharing reduction payments and reinsurance face uphill battle for inclusion.
The insurer claims ER physician staffing firm is charging 'outrageous' rates, while Envision blames UnitedHealthcare for out-of-network charges.
The joint venture currently offers employers with employees in northern California self-insured commercial products with effective dates as early as April 1.
Strong performance partly attributed to Affordable Care Act business, which produced income for the first time in 2017.
An electronic prescription drug monitoring program network would track controlled substance prescriptions in a state.
Several industry associations call for provisions that would extend the market stabilization programs in the omnibus appropriations bill Congress is under a deadline to pass by Friday.
The FoundationOne CDx test is the first breakthrough-designated in vitro diagnostic test and can detect genetic mutations in 324 genes.