Category: Insurers

Pandemic Swells Medicaid Enrollment to Record 80 Million People

More than 80 million Americans with low incomes were receiving health coverage through the federal-state program in January. The program now covers nearly 1 in 4 people nationwide.

Mental Health Services Wane as Insurers Appear to Skirt Parity Rules During Pandemic

A report from the Government Accountability Office paints a picture of an already strained behavioral health system struggling after the pandemic struck to meet the treatment needs of millions of Americans with conditions like alcohol use disorder and post-traumatic stress disorder.

After Accident, Patient Crashes Into $700,000 Bill for Spine Surgery

Generous personal injury coverage on your car policy may not be enough to cover medical bills. Patients can get financially blindsided when auto insurance and health insurance policies differ.

The Great Undoing: Which of Trump’s Policies Will Biden Reverse?

In his campaign, President Joe Biden promised to undo policies, particularly health policies, implemented by former President Donald Trump. Yet, despite immense executive power, reversing four years of action takes time and resources.

‘Painless’ Glucose Monitors Pushed Despite Little Evidence They Help Most Diabetes Patients

The numbers of people wearing these monitors are soaring as prices have fallen and device-makers promote them to doctors and patients. But few studies show the devices lead to better outcomes for the nearly 25 million Americans with Type 2 diabetes who don’t inject insulin to regulate their blood sugar.

Head-Scratching Over Newsom’s Choice of Blue Shield to Lead Vaccination Push

Gov. Gavin Newsom’s surprising choice of Blue Shield to lead the state’s covid vaccination effort raised questions about the role politics played in the decision — and whether the insurer is up to the task.

Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs

A provision the Trump administration tucked into its final rule on health plan price transparency requires telling consumers what they will pay out-of-pocket for drugs and showing them what the plan paid.

Heartbreaking Bills, Lawsuit and Bankruptcy — Even With Insurance

With health insurance that can leave him on the hook for more than a quarter of his salary every year, a Kentucky essential worker who has heart disease is one of millions of Americans who are functionally uninsured. At only 31, he has already been through bankruptcy and being sued by his hospital. This year, he faced a bill for more than $10,000.

COVID + Influenza: This Is a Good Year to Get a Flu Shot, Experts Advise

A robust sign-up for flu shots could help head off a nightmare scenario in the coming winter of hospitals stuffed with both COVID-19 patients and those suffering from severe effects of influenza. Plus, no one knows how flu and COVID might interact if a patient got both.

Don’t Count on Lower Premiums Despite Pandemic-Driven Boon for Insurers

Early in the pandemic, insurers expected the costs of treating COVID-19 would vastly increase medical spending. Instead, non-COVID care has plummeted and insurers have pocketed the result. Still, few industry observers are predicting broad-based premium cuts in 2021, though some health plans have proposed lowering their rates.