Author Frequently asked questions. 534 items Posts pagination Newer 1 … 28 29 30 31 32 … 54 Older Beware the ACO enablers April 9, 2020 By Maria Castellucci Modern Healthcare, March 21, 2020 While Caravan Health, one of the consulting firms typically called ACO enablers, is taking on all the downside risk for some of its customers, other companies have long baked into their business model that they will take on some of it, sometimes half or more, depending on […] Quote of the Day UnitedHealth, Cigna sued for underpaying out-of-network providers April 8, 2020 By Shelby Livingston Modern Healthcare, April 6, 2020 Several behavioral health providers and patients sued UnitedHealth Group and Cigna subsidiaries for allegedly underpaying the providers for out-of-network claims, leaving patients with massive medical bills. The lawsuits, filed last week in the U.S. District Court for the Northern District of California, claim that United Behavioral Health […] Quote of the Day COVID-19 pandemic and the loss of health insurance April 7, 2020 By Steffie Woolhandler, MD, MPH; David U. Himmelstein, MD Annals of Internal Medicine, April 7, 2020 During the final week of March 2020, the U.S. Department of Labor reported that a record number of workers—6.648 million—filed new claims for unemployment benefits. That beat the previous record of 3.307 million filings, which was set the week […] Quote of the Day Fate of commercial insurance under the COVID-19 pandemic April 6, 2020 Covered California, March 22, 2020 This policy/actuarial brief provides projections and models the potential costs associated with coronavirus (COVID-19) testing and treatment on the national commercial health insurance markets (individual, small and large group employers — including both those employers that are insured and self-funded). There are additional cost and access implications for Medicare, Medicaid, […] Quote of the Day What we can learn from health insurance coverage in the construction industry April 3, 2020 By Samantha Brown, M.P.H., Raina D. Brooks, M.P.H., and Xiuwen Sue Dong, Dr.P.H. The Center for Construction Research and Training, Data Bulletin, April 2020 This Data Bulletin examines the latest trends in health insurance coverage among construction workers, using data from the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS), a […] Quote of the Day Sebelius and Fowler look back April 2, 2020 Kaiser Health News, March 19, 2020 Julie Rovner: Now it’s 10 years later, the law is more popular than ever. And yet there are still some big problems in the nation’s health care system, including levels of cost sharing, surprise bills, so that even people who do have insurance are worried about costs when accessing […] Quote of the Day Another gift of COVID-19: Medical bankruptcy April 1, 2020 By Allison K. Hoffman The Hill, April 1, 2020 With three relief bills passed, Congress addressed the most immediate health and economic threats from COVID-19. Yet, it has neglected a secondary threat that follows just behind. Many Americans will face unmanageable medical bills for coronavirus care. The relief legislation that Congress passed over the past […] Quote of the Day Saez and Zucman explain how we can protect our health and save our economy March 31, 2020 It’s not too late to start protecting employment or to make medical care for Covid-19 free. By Emmanuel Saez and Gabriel Zucman The New York Times, March 30, 2020 The coronavirus pandemic is laying bare structural deficiencies in America’s social programs. The relief package passed by Congress last week provides emergency fixes for some of […] Quote of the Day Justice Department accuses Anthem of Medicare Advantage fraud March 30, 2020 By Shelby Livingston Modern Healthcare, March 27, 2020 The U.S. Justice Department has sued national health insurer Anthem for fraudulently collecting hundreds of millions of dollars from the Medicare program by exaggerating the illnesses of its members. The lawsuit, filed Thursday by the U.S. attorney for the Southern District of New York, alleged that Anthem […] Quote of the Day You don’t need a pandemic to lose your health plan at work March 27, 2020 Americans are about to learn something horrifying: how irrational it is for health insurance to be linked to your employment status By Wendell Potter The Guardian, March 27, 2020 The tragic effects of our battle with the novel coronavirus are seemingly endless. But arguably the most mind-blowing is this: the very pandemic that threatens to […] Quote of the Day Posts pagination Newer 1 … 28 29 30 31 32 … 54 Older