(Reuters)—The U.S. Justice Department (DOJ) has accused UnitedHealth Group Inc. of obtaining inflated payments from the government based on inaccurate information about the health status of patients enrolled in its largest Medicare Advantage Plan.1 The complaint, filed in federal court in Los Angeles on Monday, came after the DOJ earlier this year intervened in two…
California Asks Insurers to Double Up on Rate Filings
NEW YORK (Reuters)—Health insurers seeking regulatory approval for 2018 individual insurance plans can file two sets of premium rates as a way to deal with market uncertainty created by Republicans’ promise to repeal and replace Obamacare, a California state insurance regulator said on Friday. California Insurance Commissioner Dave Jones told insurers in a letter made…
How to Bill Medicare Patients for Non-Covered Services
What do you do when you are presented with a patient who needs treatment but the patient’s insurance company will not pay for the services? Can you provide the services anyway? Who will pay for them? How do you collect payment for such services? If the patient consents to receive the services in spite of…
Trump Administration Issues Final Rule on Stricter Obamacare Enrollment
WASHINGTON (Reuters)—The Trump administration on Thursday issued a final rule that will shorten the Obamacare enrollment period and give insurers more of what they say they need in the individual insurance market, likely making it harder for some consumers to purchase insurance, healthcare experts say. It could also raise out-of-pocket medical expenses, the experts say,…
Republicans Pull Healthcare Legislation
WASHINGTON (Reuters)—President Donald Trump suffered a stunning political setback on Friday in a Congress controlled by his own party when Republican leaders pulled legislation to overhaul the U.S. healthcare system, a major 2016 election campaign promise of the president and his allies. Republican leaders of the House of Representatives pulled the legislation due to a…
Republicans Revamp U.S. Health Bill, Boost Benefits to Older Americans
WASHINGTON (Reuters)—U.S. House Republicans are working on changes to their healthcare overhaul bill to provide more generous tax credits for older Americans and add a work requirement for the Medicaid program for the poor, House Speaker Paul Ryan (R-Wis.) said on Sunday. Ryan said Republican leaders still planned to bring the healthcare bill to a…
Scant Consumer Information in Local TV Coverage of Obamacare
(Reuters Health)—Local TV news coverage of the Affordable Care Act (ACA), often called Obamacare, generally focused more on politics than on information consumers can use to help choose insurance, a recent study suggests. Overall, less than half of ACA-related news coverage focused on health insurance products, while much of the rest of the spots concentrated…
Not Much Saving Going on in Health Savings Accounts
NEW YORK (Reuters)—Health savings accounts (HSAs) feature prominently in the new healthcare bill being considered by the U.S. House of Representatives, with a variety of changes in store. But research shows not many participants are actually saving money beyond the initial tax break. More than 20 million Americans currently have these accounts, which allow people…
Agency’s Analysis of U.S. Republican Health Bill May Sharpen Resistance to Measure
WASHINGTON (Reuters)—A non-partisan report released Monday on the costs of a Republican plan to replace the Obamacare healthcare law could harden opposition to the proposal, adding to the obstacles facing President Donald Trump’s first major legislative effort. The Congressional Budget Office, which provides official cost estimates for legislation, is widely expected to find the Republican…
Trump Backs House Healthcare Plan, Says Open to Negotiations
WASHINGTON (Reuters)—U.S. President Donald Trump on Tuesday backed a draft Republican proposal to dismantle Obamacare that was unveiled Monday, saying the proposed healthcare legislation was “out for review and negotiation.” Trump, in a tweet on Tuesday morning, described the bill proposed by fellow Republicans in the House of Representatives as “Our wonderful new healthcare bill.”…
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