States Seek to Soften Rule on Insurers’ Profits, Millions Of Dollars In Consumer Rebates At Stake
Nine states are pushing the Obama administration to ease a requirement that insurers spend 80 percent of their premium revenues on medical care
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Some Employers Already Sending Workers To Exchanges to Buy Health Insurance
Entrepreneurs create new private marketplaces
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Health Insurance From Both Sides: KHN Interview Of Aetna CEO Bertolini
Mark Bertolini knows the insurance industry inside out. Both he and his son have had life-threatening health crises. He says he wouldn't qualify for an individual policy and talks with KHN about how Aetna is reacting to the health law.
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CBO: Seniors Would Pay Much More For Medicare Under Ryan Plan
Health care entitlement programs are targeted for major overhauls under the House GOP budget proposal, says the Congressional Budget Office.
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Hospitals And Insurers Face Growing Antitrust Scrutiny
Recent lawsuits show the government is cracking down on suspected anti-competitive actions in the health care and insurance industries.
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Brokers Seek To Preserve Role In Health Insurance Marketplace
Insurance agents fear the health reform law threatens their livelihood and want changes in rules to protect their commissions and guarantee them a role in the new health exchanges.
By Julie Appleby and Jordan Rau -
Haley Barbour Draws Fire For Medicaid Changes In Mississippi
Mississippi Gov. Barbour's ways to control the rising costs of Medicaid are sometimes controversial, but he maintains that states need more freedom to run the program.
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Regulators Penalize Some Maryland Hospitals For Complication Rates
A Maryland program to curb hospital infection rates is showing signs of success, but nine hospitals still fell short last year and were penalized a total of $2.1 million.
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Health Programs On The Chopping Block As States Gird For Drop In Federal Aid
Hundreds of thousands of Americans are at risk of losing access to health services as states prepare to make yet another round of budget cuts.
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States May Face Showdown With Feds Over Cutting Medicaid Rolls
Arizona has already asked for permission to trim back the program, and other states may follow as enhanced funding from Washington expires.
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Obama Administration’s Balancing Act: Health Insurance Benefits Vs. Costs
Advocacy groups are lobbying as government advisory panel tackles key question: What benefits must insurers cover?
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Effort To Reward Medicare Advantage Plans Draws Criticism
MedPac assails Medicare plan to extend quality bonus payments - meant for top-performing health insurers - to those with lower scores.
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New Rules Would Require Insurers To Justify Double-Digit Rate Increases
The Obama administration's proposed rule would require health insurers to explain in detail any rate increase of 10 percent or more in 2011.
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Virginia Panel: Implement Health Law And Improve Care
A panel appointed by Virginia Gov. Bob McDonnell strongly recommended Tuesday that the state move to implement the health overhaul law and take other steps to significantly improve health care in the state.
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New Rules Spell Out Protections For Consumers With ‘Limited Benefit’ Insurance Policies
HHS says that employers and insurers have 60 days to send out detailed notices to consumers on the limitations of their health insurance policies, which could have effects on so-called 'mini-med' policies.
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Unnecessary Hospital Admissions Targeted By New Payment Plan
Maryland hospitals and regulators are teaming up in an experimental payment plan to reduce unnecessary admissions while improving patient care.
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Obama Administration Clashes With Insurers Over Controlling Costs
One day after unveiling new minimum medical spending rules for health plans, Obama administration officials took insurers to task for claiming premium increases result from the new law.
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New Law’s Health Insurance Regulations Could Mean Rebates For Consumers
Millions of Americans might be eligible for rebates starting in 2012 under regulations released Monday detailing the health care law's requirement that insurers spend at least 80 percent of their revenue on direct medical care.
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Administration Unexpectedly Expands Bonus Payments For Medicare Advantage Plans
The Obama administration will spend up to $1.3 billion to extend special payments -- meant to reward top-performing insurers -- to those that score only average ratings.
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With Newly-Elected Governors, GOP Gains Clout To Fight Health Reform Law
New state officials could slow the pace of implementation, seek waivers from some provisions, veto state legislation and appoint like-minded people to important positions, such as insurance commissioner slots.
By Julie Appleby and Mary Agnes Carey
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