Source: California Healthline In a few months, California will begin providing full Medi-Cal coverage to all low-income children — regardless of their immigration status. Depending on whom you ask, anywhere from 170,000 to 250,000 children who live in California and are in the country illegally will qualify. If you think your child will, or know […]
Read moreSource: Property and Casualty 360 Insurance agents and brokers are experiencing a major shift in what their customers and clients have come to expect. By 2017, “digital natives” willdominate the workplace, which has huge implications for agents and brokers looking to engage with customers and grow their businesses. As the millennial generation matures and enters […]
Read moreSource: Los Angeles Daily News It wasn’t until a doctor ordered medical tests for Adriana Vitale that she discovered her Covered California coverage had disappeared. “I was shocked. I was crying. I was depressed,” said Vitale, 61, of Downey. Her insurance had been dropped, even though she had paid all her premiums on time. She’s […]
Read moreSource: California Healthline Have you ever gone in for a medical procedure you knew was covered by your health plan, only to be hit weeks later by a large, unexpected bill from a doctor whose name you didn’t even recognize? If so, you’re not alone. More than one in five Californians with private health insurance […]
Read moreSource: The Washington Post Health insurance company Anthem is suing Express Scripts, the largest prescription drug benefit provider in the U.S., for allegedly charging too much for drugs. The lawsuit, filed in district court in New York, seeks to recover damages for alleged excessive pharmacy pricing and the right to terminate Anthem’s contract with Express […]
Read moreSource: The Wall Street Journal Two of the largest players in the U.S. pharmaceutical supply-chain, Walgreens Boots Alliance Inc. and UnitedHealth Group Inc.’s OptumRx, formed a partnership aimed at helping them capture a greater share of the prescription drug market. Under the deal, OptumRx, which manages prescription drug insurance for more than 66 million Americans, […]
Read moreSource: California Healthline California’s insurance exchange is threatening to cut hospitals from its networks for poor performance or high costs, a novel proposal that is drawing heavy fire from medical providers and insurers. The goal is to boost the overall quality of patient care and make coverage more affordable, said Peter Lee, executive director of […]
Read moreSource: USA Today Secret deals often prompt drug benefit companies to cover brand-name prescriptions when equally effective generic or even over-the-counter medications are available, several drug pricing experts say. These companies, known as pharmacy benefit managers (PBMs), negotiate deals with drug makers that include rebates and other compensation to encourage certain drugs and come up […]
Read moreSource: Kaiser Health News California’s health exchange may require its health plans to pay sales commissions to insurance agents to keep insurers from shunning the sickest and costliest patients. Covered California is working on a proposal that would force the plans to pay commissions effective next year, said Executive Director Peter Lee. The proposed rules […]
Read moreSource: Kaiser Health News Vantage Health Plan executives saw an opportunity when they realized few of their female Medicare members were being screened for osteoporosis after they broke bones. The test to identify women at increased risk for fractures is one of 40 measures that Medicare applies to produce its 5-star ratings comparing the private […]
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