(Reuters Health) - The roughly 50 percent of immigrants in the U.S. who have private health insurance coverage contribute more to the risk pool than they receive in benefits, a new study suggests. As U.S. lawmakers continue to tackle immigration reform, knowing whether immigrants burden or subsidize the nation’s healthcare system could be helpful, researchers write in Health Affairs. “If we’re talking about reform, we need to understand the consequences of policies put in place and the repercussions on many parts of our country,” said study leader Dr. Leah Zallman, director of research at the Institute for Community Health in Malden, Massachusetts. Recent narratives about immigrants and the healthcare system paint a picture of packed emergency rooms and patients who can’t pay their bills. But many U.S. immigrants are young, healthy and able to get employer-provided insurance, and when these people are taken into account, the insurance premiums … [Read more...] about U.S. immigrants pay more for health insurance than they get in…
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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.