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Insurance focused on virtual visits? The pros and cons of a new twist in health plans

At the height of the COVID-19 pandemic, people often relied on telemedicine for doctor visits; now, insurers are betting that some patients liked it enough to embrace new types of health coverage that encourages video visits — or outright insists on them.... Read more»

Obamacare marketplace shakeout rocks Arizona, Southeast

Some of the Affordable Care Act’s insurance marketplaces are in turmoil as the fourth open enrollment season approaches this fall, but what’s ahead for consumers very much depends on where they live.... Read more»

Medicare Advantage patients find themselves in regulatory limbo

Medicare pays the privately run health plans — an alternative to traditional Medicare — a set monthly rate for each patient. About 16 million Americans have signed up at an annual cost to taxpayers of more than $160 billion, about one third of the elderly and disabled people eligible for Medicare. A Center for Public Integrity investigation published in June found as much as $70 billion of improper payments to Medicare Advantage plans from 2008 through last year.... Read more»

Commentary

Health insurance lobby keeps Medicare Advantage overpayments flowing

Commentary: A Center for Public Integrity series documented abuses, but don't expect action from Congress. ... Read more»

Feds investigating allegations that Humana overcharged Medicare

Humana Inc. faces multiple federal investigations into allegations that it overbilled the government for treating elderly patients enrolled in its Medicare Advantage plans, court records reveal.... Read more»

Analysis

Potter: Beginning of the end for major health insurers

I’ve often said that the Affordable Care Act is the end of the beginning of reform. Starting tomorrow, October 1, 2014, that law will signify the beginning of the end of the health insurance industry as we know it.... Read more»

Commentary

Potter: The behind-the-scenes battle that could subvert Obamacare

Complex state level battle over stop-loss coverage could eliminate crucial consumer protections. ... Read more»

Commentary

Potter: Who wins with Medicare Advantage?

The big five health insurance companies have begun reporting their third quarter 2012 earnings and so far, they are pleasing their shareholders with profits that are better than Wall Street expected, in large part because they are doing especially well in one key area: Medicare. ... Read more»

Commentary

Why insurers want ObamaCare's Medicaid business

Pay no attention to GOP governors and House leaders; insurance firms need new customers.... Read more»

Pentagon health plan won't cover brain-damage therapy for troops

Despite pressure from Congress and the recommendations of military and civilian experts, the Pentagon refuses to cover cognitive rehabilitation — a decision that could affect the tens of thousands of service members who have suffered brain damage while fighting in Iraq and Afghanistan. ... Read more»

Chamber seeks cash for anti-regulation effort

Even as it plowed tens of millions of dollars into ads this year to help mostly Republicans notch Congressional victories, the U.S. Chamber of Commerce was initiating a new effort to raise millions more from energy, health insurance, financial services, and other firms to fund a new anti-regulatory campaign. ... Read more»

Health care rules unveiled by HHS, yet insurers' stocks rise

Health and Human Services Secretary Kathleen Sebelius unveiled regulations requiring insurers to spend 80 to 85 percent of premiums collected on medical care ... Read more»

Health care reform

Insurers move to cover kids up to 26 earlier than required

Insurers will move even more quickly than required to keep young adults on their parents insurance plan.... Read more»