Key Benefit Administrators claims Teladoc notified them of the overcharge due to an accounting error but attempted to reconfigure the refund so it wouldn’t negatively affect their financial statements.
Category: FierceMarkets
Trump administration cuts funding for ACA enrollment efforts again
On Tuesday evening, officials announced that planned funding levels for grants to assist Affordable Care Act enrollments would be drastically cut.
More insurers expected to enter the ACA exchanges in 2019
Senior adviser to the executive VP and coverage expert Katherine Hempstead, who worked on a new online tool that allows users to track individual market entry for the 2019 plan year by state, county and carrier, says the data shows insurers are stickin…
Payer Roundup—CMS reports consumers dropping coverage; Mississippi edits work requirement proposal
Exchange consumers are dropping coverage over time, but it’s not as bad as last year. That news and other headlines from around the web.
Trump selects Kavanaugh for Supreme Court pick, raising plenty of questions about implications for healthcare
After President Trump announced his pick of Brett Kavanaugh for his Supreme Court pick, all eyes pointed to what it could mean for major healthcare decision including the Affordable Care Act and the future of abortion laws.
Azar says 340B changes are coming in bid to get a handle on drug prices
Putting politics aside, HHS Secretary Alex Azar spoke to a group of 340B hospital representatives on Monday. He said the program needs changes, but he also reiterated the administration’s commitment to lowering drug prices.
Trump administration: Drugmakers that hiked prices may create ‘tipping point’
HHS Secretary Alex Azar was speaking Monday at the summer conference for the 340B Coalition, which represents programs and providers that support the drug discount program. It came as President Trump threatened action against companies like Pfizer for …
Cerner sinks $266M into Lumeris as part of strategic partnership targeting Medicare Advantage plans
Cerner will become a minority owner in Lumeris’ parent company as part of a 10-year strategic partnership focused on value-based care payment arrangements, particularly in the Medicare Advantage space. The two companies plan to release a new joint offe…
Experts: Trump administration’s suspension likely won’t delay risk adjustment payments
During an event hosted by the American Enterprise Institute examining the future of the ACA, healthcare experts said they don’t expect insurers to experience a delay in risk adjustment payouts.
CMS suspends $10.4B in risk adjustment payments to insurers
Over the weekend, CMS announced it was freezing billions in risk adjustment payments to insurers on the ACA marketplace, citing a New Mexico court ruling from March. AHIP said the decision would create more market uncertainty and increase premiums.
