Category: Insurance

ACA Enrollment Platforms Suspended Over Alleged Foreign Access to Consumer Data

Federal regulators provided more specifics about why they suspended two private sector Affordable Care Act enrollment sites, including concerns about potential overseas accessing of consumer data and suspicions of involvement in Obamacare enrollment and switching schemes. The companies reject the assertions.

Errors in Deloitte-Run Medicaid Systems Can Cost Millions and Take Years To Fix

As states wait for Deloitte to make fixes in computer systems, Medicaid beneficiaries risk losing access to health care and food.

An Arm and a Leg: Don’t Get ‘Bullied’ Into Paying What You Don’t Owe

In this episode of “An Arm and a Leg,” host Dan Weissmann speaks with Caitlyn Mai, a woman in Oklahoma who received a six-figure bill for a surgery her insurance promised to cover. This episode is an extended version of the “Bill of the Month” series, produced in partnership with NPR.

Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition

A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.

Turning 26 and Struggling To Find Health Insurance? Tell Us About It.

KFF Health News and The New York Times are looking into a dreaded “adulting” milestone: finding your own medical insurance at 26.

For Pharma, Trump vs. Harris Is a Showdown Between Two Industry Foes

Vice President Kamala Harris is seen as more aggressive than former President Donald Trump in taking on pharmaceutical companies, but Trump allies say he would also make lowering drug costs a top priority.

Her Life Was at Risk. She Needed an Abortion. Insurance Refused To Pay.

Insurance coverage for abortion care in the U.S. is a hodgepodge. Patients often don’t know when or if a procedure or abortion pills are covered, and the proliferation of abortion bans has exacerbated the confusion.

Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace

Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.

Patient Underwent One Surgery but Was Billed for Two. Even After Being Sued, She Refused To Pay.

A collection agency sought court authority to garnish a patient’s wages to pay a disputed surgery bill. But after the patient showed up in court to argue the bill was bogus, the judge declined to let the bill collector seize her money.

Harris Did Not Vote to ‘Cut Medicare,’ Despite Trump’s Claim

Former President Donald Trump’s claim that Vice President Kamala Harris voted to “cut Medicare” is false, experts say.