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Republicans’ delay in finding common ground to repeal and replace the health law raises risks that coverage could shrink and rates rise even more, the industry says.
Employer medical insurance still covers more people than any other kind. A Republican replacement for Obamacare could spread instability beyond the health law’s shaky marketplace plans.
A bill recently introduced in the California legislature would require insurance companies to cover fertility-preserving services for patients at risk of infertility because of necessary medical treatments.
Federal officials release names of insurers who ranked poorly in a recent review of their online directories’ accuracy.
A high-profile whistleblower attorney representing the physician is seeking class action status.
AARP had sought a preliminary injunction because it argued the new regulations – which allow employers to tie participation to 30 percent of the cost of individual health coverage – could be coercive.
Premiums on 2017 plans are rising by comparable amounts both in counties where multiple insurers still compete and in those where only one insurer remains after several companies stopped selling individual plans under the health law, according to Avalere, a consulting firm.
The incoming HHS secretary wants to boldly reform the malpractice system, saying hundreds of billions are wasted on “lawsuit abuse” and defensive medicine. Industry experts say premiums and claims are down and “it’s a wonderful time for doctors.”
The uncertainty over what could replace Obamacare has left many uneasy about what will happen with their medical care.
The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.
Republicans want to jettison the health law, but some features are already hardwired into the system.
Colorado’s approval of a ballot measure sets the stage for efforts in other states.
Some networks of hospitals, doctors and medical services are now so dominant in their region that they can hike their prices and force patients to waive the right to sue when things go wrong.
The insurer is on the hook for $25 million in refunds to about 240,000 enrollees with employer coverage.
Other insurers complain that Blue Cross Blue Shield plans have bloated overhead costs and reap too much from the Obamacare risk-adjustment fund, paid for by insurers. The companies deny it.
The list of preventive services that insurers must cover without a co-pay could grow to include mammograms for younger women, testing that follows an irregular screening and birth control for men.
Clinton has offered detailed plans to preserve and expand the law, while Trump has vowed to “repeal and replace Obamacare so quickly.”
California Insurance Commissioner Dave Jones says a publicly run health plan would bolster competition in the state. But some question whether it would lower premiums.
The problem, known as balance billing, happens when patients are treated by an out-of-network professional at an in-network facility. Gov. Jerry Brown is expected to sign the legislation.
The annual Census report finds that the number of uninsured falls to 29 million from 33 million.
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