The primary reason for noncompliance was that most providers don’t send records electronically even when so requested.
Category: Health Insurance
Insurers’ collective premium rate increases are less than 1% for 2020 ACA plans
Numerous states reported requested rate decreases and only three have double-digit increases.
Tufts and Harvard Pilgrim to merge, creating large nonprofit insurer
The new organization, yet to be named, will be one of the largest nonprofit health organizations in Massachusetts and the surrounding region.
Day Kimball Healthcare has sights set on partnership with California for-profit
It could be several months before the deal is finalized, though the agreement itself is projected to be completed this fall.
Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says
Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts, Medimpact and Argus.
Healthcare cybersecurity market poised for growth over the coming years
The rapid adoption of digital technologies is considered beneficial to providers, but it can lead to cybersecurity gaps.
Trump Administration Hits Brakes On Law To Curb Unneeded Medicare CT Scans, MRIs
Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to radiation for no medical benefit.
As States Strive To Stabilize Insurance Marketplaces, Insurers Return
States increasingly expect to see insurers enter or re-enter ACA marketplaces next year. That’s a critical sign that these exchanges are growing less risky for insurers despite ongoing political and legal battles over the ACA.
Hospital price increases for inpatient services will cost consumers and employers $250B over the next decade
Between 2013 and 2017, hospital prices for inpatient services increased 19%, translating to about 4.5% per year.
Bright Health to expand its health plan model to 13 new markets for 2020
The expansion marks a nearly 300% increase in product offerings compared to 2019.
