Category Archive: FierceHealthPayer

Surveys suggest a slowdown in HSA-eligible health plan enrollment growth

Enrollment growth in health savings account-eligible health plans, once robust, appears to be slowing down, according to a new issue brief from the Employee Benefit Research Institute. As for why that might be, the brief suggests recent minimal increas…

Payer Roundup—Virginia House backs Medicaid expansion; Ohio set to apply for two new waivers

A key committee in the Virginia House of Delegates on Sunday proposed a two-year state budget that would expand Medicaid in the state, with a conservative twist; officials in Ohio say they plan to apply for waivers that would allow the state to stop re…

Health insurers can derail states’ coverage-expansion efforts, analysis says

If a state wants to successfully expand health coverage to its remaining uninsured, one of the key steps it must take is to ensure stakeholders like health insurance companies are on board. That’s one of the findings in new research from the University of Pennsylvania, which analyzed and compared five states’ attempts to achieve universal coverage.

Business groups, GOP lawmaker push for repeal of employer mandate

Now that the Affordable Care Act’s individual mandate has been repealed, the spotlight has swiveled to its less-discussed cousin: the employer mandate. The IRS has signaled that it will start fining employers for failing to provide coverage to their workers, sparking renewed calls for Congress to get rid of the mandate—or at least delay it.

Judge allows slimmed-down fraud case against UnitedHealth to move forward

A federal judge has ruled that the U.S. government’s remaining fraud case against UnitedHealth can move forward, despite dismissing some claims against the insurer. The case in question is one of two whistleblower lawsuits joined by the Department of Justice, which accuse UnitedHealth of gaming the Medicare Advantage risk adjustment system to inflate its reimbursement from the government. The other case has been thrown out.

Payer Roundup—New Mexico to explore Medicaid buy-in; Highmark offers cost-free diabetes prevention program

New Mexico’s legislature has voted to commission a one-year study to explore expanding health coverage in the state by allowing people to buy in to Medicaid; Highmark is providing a new diabetes prevention program as a no-cost preventive benefit for members with group insurance coverage; plus more payer news from around the web.

Health IT proponents pleased with new spending bill, see momentum for telehealth

Following a brief government shutdown, President Trump signed a spending bill Friday morning that includes expanding telemedicine services to Medicare Advantage members, broader leeway for HHS to change Meaningful Use requirements moving forward and ad…

Aetna sues company that sent mailings tied to HIV privacy breach

Aetna is suing a company that it says should bear the brunt of the blame for sending letters to thousands of individuals accidentally revealing their HIV status. The insurer says claims administrator Kurtzman Carson Consultants should pay at least $20 …

Democrats push for ACA stabilization bill to expand subsidies

Senate Democrats want to shift a bipartisan Affordable Care Act stabilization bill further to the left, a move that is likely to run into resistance from the other side of the aisle. Sen. Patty Murray and her colleagues now want the legislation to include larger subsidies and prevent the sale of skimpier insurance plans.

ACA exchange enrollment totals 11.8M in 2018, down 3.7% from last year

New data confirm that fewer people signed up for Affordable Care Act marketplace plans during the 2018 open enrollment period than last year. But the final tally is still impressive considering all the political turmoil surrounding the healthcare law, according to an analysis from the National Academy for State Health Policy.

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