The largest private company that brokers use to enroll people in Affordable Care Act health plans said it’s joining with insurers to thwart unauthorized Obamacare sign-ups and plan switches.
Millions were booted from Medicaid. The insurers that run it gained Medicaid revenue anyway.
Private Medicaid health plans lost millions of members in the past year as pandemic protections that prohibited states from dropping anyone from the government program expired.
A doctor at Cigna said her bosses pressured her to review patients’ cases too quickly. Cigna threatened to fire her.
Cigna tracks every minute that its staff doctors spend deciding whether to pay for health care. Dr. Debby Day said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s how you hit your numbers,” Day said.
When rogue brokers switch people’s ACA policies, tax surprises can follow
Until last week, the system that is used to enroll people in federal Affordable Care Act insurance plans inadvertently allowed access by insurance brokers to consumers’ full Social Security numbers, information brokers don’t need.
The burden of getting medical care can exhaust older patients
Insurers’ contracts with doctors, hospitals and pharmaceutical companies (or their arbiters, so-called pharmacy benefit managers) can change abruptly at any time.
Insurers or employers can tap into funds provided to patients by drugmakers through copay assistance programs, which were designed by the companies to help patients afford increasingly expensive medications.
A new $16,000 postpartum depression drug is here. How will insurers handle it?
The American Hospital Association calls the suspected ransomware attack on Change Healthcare, “the most significant and consequential incident of its kind against the U.S. health care system in history.”
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