Stateline, ContributorStateline provides daily reporting and analysis on trends in state policy. Insurance carriers are entering markets rather than fleeing them. 08/16/2018 10:47 am ET By Michael Ollove Despite Republican efforts to undermine the Affordable Care Act, insurance premiums will go up only slightly in most states where carriers have submitted proposed prices for next year. And insurance carriers are entering markets rather than fleeing them. The improvements stem from less political uncertainty over health policy, steeper than necessary increases this year, better understanding of the markets, improvements in care and a host of actions taken by individual states. Average proposed premiums for all levels of plans in California, Colorado, Delaware, Florida, Indiana, Nevada, Ohio and Pennsylvania will increase less than 9 percent in 2019, according to the Kaiser Family Foundation. By contrast, this year’s mid-priced plans increased an average of … [Read more...] about Health Insurance Premiums Are Stabilizing, Despite GOP Attacks
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About Joseph Burns Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at [email protected] View all posts by Joseph Burns → For patients and physicians, many aspects of the health care and health insurance systems are frustrating and appear to be needlessly complex. One of the most frustrating processes is prior authorization, the mother-may-I approach health insurers use to ensure that procedures, medications and even certain care processes are appropriate and worthy of coverage. In a new tip sheet, we explain that for health insurers, providers and patients, prior authorization is not only complex but also highly controversial. The prior-auth process itself goes by several names including preauthorization, prior approval, precertification, prior notification, prospective review and prior review. As might be … [Read more...] about Prior authorization rules: Yet another way the health insurance system frustrates physicians and patients
(Thinkstock) Nevada’s health insurance rates will increase only slightly in 2019, the state’s Division of Insurance announced Tuesday. Centene Corp.’s SilverSummit Health Plan and Health Plan of Nevada proposed an average 1.9 percent increase on the 15 plans they will offer in the state, the smallest increase since the Affordable Care Act took effect in 2014, Insurance Commissioner Barbara Richardson said in a release. The 41 off-exchange plans will face an average 3.1 percent rate increase. It’s good news for Nevada, said Heather Korbulic, executive director of the Silver State Health Insurance Exchange. “All of that shows that carriers are feeling more comfortable with the risk … and therefore their rates are stabilizing,” she said. Last year, Health Plan of Nevada, the only carrier which returned to the state’s marketplace after Anthem and Aetna pulled out, proposed an average rate increase of 27.2 percent for plans on the exchange. … [Read more...] about Small hikes likely for Nevada health insurance plans in 2019
Sections SEARCH Skip to content Skip to site index Health Subscribe Log In Subscribe Log In Advertisement Supported by Humana is teaming up with two investment firms to become the nation’s largest provider of hospice care, dominating a rapidly growing — and controversial — business. ByReed Abelson June 22, 2018 Death has always been lucrative enterprise, whether it involves mahogany caskets or teams of estate and tax lawyers. But hospice, the business of caring for those who are nearing death, has become a booming multibillion-dollar industry that is attracting more and more for-profit companies, including one of the nation’s major insurers. That insurer, Humana, is making an unusual bet Humana, which specializes in offering private Medicare Advantage plans, joined forces with TPG Capital and Welsh, Carson, Anderson & Stowe, two private-equity firms, last December to take over a division of Kindred … [Read more...] about An Odd Pairing? When a Health Insurer Also Wants to Be a Hospice Company
Tom Murphy, Ap Health Writer Updated 7:38 am, Tuesday, May 1, 2018 Photo: Bill Sikes, AP Image 1of/1 CaptionClose Image 1 of 1 FILE - In this June 1, 2017, file photo, a sign stands on the campus of the Aetna headquarters, in Hartford, Conn. Aetna Inc. reports earnings Tuesday, May 1, 2018. FILE - In this June 1, 2017, file photo, a sign stands on the campus of the Aetna headquarters, in Hartford, Conn. Aetna Inc. reports earnings Tuesday, May 1, 2018. Photo: Bill Sikes, AP Health insurer Aetna swings to a first-quarter profit. 1 / 1 Back to Gallery Aetna made $1.21 billion and beat Wall Street earnings expectations in the first quarter, as the health insurer moved closer to sealing its roughly $69 billion combination with CVS Health. The nation's third largest insurer said Tuesday that it swung to a profit after … [Read more...] about Health insurer Aetna swings to a first-quarter profit.