Quantcast
Channel: Health Insurance Headlines on One News Page [United States]
Viewing all 22794 articles
Browse latest View live

New Program for Law Offices Offers Efficient Service to Consolidate and Organize Clients' Medication Purchases

$
0
0
Litigation Rx offers a comprehensive and simple solution to managing a client’s medication purchases without placing the administrative responsibility on the lawyer or law office during the litigation process.

Baton Rouge, LA (PRWEB) January 28, 2015

Louisiana-based Litigation Rx is a service that lawyers and law offices can use to consolidate their clients' medication billing and medication reconciliation expenses. Litigation Rx saves legal professionals the time and effort required to keep an accurate and up-to-date account of the client’s medication expenditures related to their case.

Through Litigation Rx, the client’s legal representative creates an account with Litigation Rx. The lawyer provides his/her client with a medication card. The client uses the activated card to pay for his/her medications as the case is being settled.

The medication card is accepted at more than 56,000 pharmacies nationwide, including the large pharmacy retail chains and can be used on any current or future FDA-approved medication purchases related to the client’s accident or refills.

Clients do not need health insurance for a lawyer to use the Litigation Rx service. The service works the same for individuals with health insurance or without health insurance.

Litigation Rx provides the legal team with their client’s complete medication history including the billing and medication records. Litigation Rx routinely monitors the account to ensure that privacy is maintained and the service is being used for its intended purpose.

To learn more visit: http://www.LitigationRx.com or call (225) 266-7941.

About Litigation Rx

Litigation Rx is an independent company that develops innovative healthcare IT solutions for legal professionals that adhere to regulatory standards.

For media or sales inquiries, contact Litigation Rx by email: rex(at)litigationrx(dot)com or by phone at (225) 266-7941. Reported by PRWeb 19 hours ago.

Health Insurance’s Hidden Costs

$
0
0
Health Insurance’s Hidden Costs Reported by ajc.com 18 hours ago.

Six Million Taxpayers Could Owe IRS Obamacare Penalty

$
0
0
As many as 6 million U.S. taxpayers will have to pay a penalty of as much as 1 percent of income because they went without health insurance in part or all of 2014, the Treasury Department said. Reported by Newsmax 16 hours ago.

Industry Observers Note Massive Move to MA Plans with Higher Star Quality Ratings in AIS Newsletter

$
0
0
Analysts tell Atlantic Information Services’s Medicare Advantage News that the trend can be attributed to the better benefits and reduced costs the higher-rated plans can afford to offer because of the rebate dollars that plans rated four stars or above get from CMS.

Washington, DC (PRWEB) January 28, 2015

Now that the 2015 Medicare open enrollment period has ended and the Centers for Medicare & Medicaid Services has released partial enrollment data, one trend has become abundantly clear, industry analysts tell Atlantic Information Services, Inc.’s (AIS) Medicare Advantage News (MAN) in its Jan. 22 issue: there has been a massive move from Medicare Advantage (MA) plans with lower CMS star quality ratings to those with higher ratings. One major insurer with higher average star ratings, for example, saw a 6% MA enrollment increase while several others with lower average star ratings had smaller membership gains or even reductions. Analysts tell MAN that they attribute this to the better benefits and reduced costs the higher-rated plans can afford because of the rebate dollars that plans rated four stars or above get from CMS.

While the overall MA enrollment figures show small gains, Eric Hammelman, a vice president at Avalere Health, LLC, suggests that the more important data are the “phenomenal” differences in the performance of high- versus low-star-rated plans in this enrollment period, since CMS has put an end to awarding bonuses to plans with ratings below four stars. That means for “two plans in the same county with close to the same bids and costs, the higher-star plan could get twice as many rebate dollars” from CMS, Hammelman asserts.

Visit http://aishealth.com/archive/nman012215-01 to read the article in its entirety, including analysis of other trends observed during this enrollment period.

About Medicare Advantage News
Medicare Advantage News is the health care industry’s #1 source of timely news and business strategies about Medicare Advantage plans, product design, marketing, enrollment, market expansions, CMS audits, and countless federal initiatives in this hotly contested area of health insurance. Published biweekly since 1994 (when it was Medicare+Choice), the newsletter exists to help plans boost revenues, increase enrollees, cut costs and improve outcomes in Medicare Advantage and Medicaid managed care. Visit http://aishealth.com/marketplace/medicare-advantage-news for more information.

About AIS    
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com. Reported by PRWeb 17 hours ago.

Ted Cruz Gives Rare Praise To Michelle Obama

$
0
0
Sen. Ted Cruz (R-Texas) publicly praised first lady Michelle Obama on Wednesday. Yes, really.

Though the tea party favorite and potential 2016 presidential contender is a strong critic of the White House, he expressed support on Facebook for the first lady's decision to not wear a headscarf in Saudi Arabia, while she and the president expressed their condolences on the death of King Abdullah.

"Kudos to First Lady Michelle Obama for standing up for women worldwide and refusing to wear a Sharia-mandated head-scarf in Saudi Arabia. Nicely done," Cruz wrote, while linking to a story about the first lady's attire.

It's rare to hear Cruz praise the White House. He has been a constant critic of the Obamas, especially in regard to their push for the Affordable Care Act. After Michelle Obama appeared in an ad urging young people to sign up for health insurance plans last year, Cruz got fired up, noting his disgust with the "condescension and patronizing" that he said was coming from Washington, D.C.

*View the Facebook post here.* Reported by Huffington Post 16 hours ago.

Family Business

$
0
0
Martin Luther King, Jr. once said, "Of all the forms of inequality, injustice in health care is the most shocking and inhuman." As our country celebrates his life and work this week, this quotation makes me think about health and health care through the lens of solidarity, about the ways that we all -- in our communities, in our families, in our friendships -- need to look out for each other, care for each other, and advance each other's ability to live the lives we've always dreamed about.A key to this solidarity is the sharing of information. According to the old adage, "Information is power." But I want to take that one step further: Information is power--and it can be lifesaving.In 2010, I took a job at the Hetrick Martin Institute, an organization serving LGBT youth between the age of 12 and 24. Throughout my time with these young heroes and sheroes, I saw resiliency and unrelenting courage not just to survive, but to thrive. These young people are often referred to as 'at-risk', but actually they're youth 'at-promise' -- waiting only for the information and opportunities they need to take charge of their own lives. Their growing self-reliance is rooted in access to information that becomes empowering and life saving.Also in 2010, President Barack Obama signed into the law the Affordable Care Act (ACA), also known as Obamacare. Under the law, most Americans must have health insurance coverage starting in 2014. By the end of 2014, 7 million Americans had signed up for plans through the Health Insurance Marketplace, with millions more eligible to access coverage in 2015.But many LGBT individuals, especially young adults, are still uninsured -- and the "open enrollment" period for 2015 ends February 15th.Good health and health care are not privileges -- they're rights. Now, given that LGBT individuals, past and present, have been denied various rights because of our sexual orientation and gender identity, I understand why many, especially people of color, are cynical towards the health system. When you combine that with the high levels of stigma and shame around HIV/AIDS both around and within our community, it's not surprising that so many LGBT individuals go without coverage and care.But it's crucial for everyone in our community to know that leaving opportunities for health coverage on the table and trying to get along without health care only exacerbates the various health issues that already disproportionately impact LGBT people, such as mental health concerns, substance use, and HIV/AIDS.What's more, Obamacare offers incredible new protections and opportunities for the LGBT community to act in solidarity to expand access for each of us -- including people living with HIV/AIDS and other marginalized communities -- to the quality health coverage and care we deserve.For instance, the law prohibits sex discrimination in health care facilities that participate in Medicare or Medicaid, and in 2012 the U.S. Department of Health and Human Services further clarified that this prohibition includes discrimination on the basis of transgender status. What's more, the law prevents insurance carriers from deny individuals coverage on the basis of any pre-existing condition, including HIV/AIDS and diagnoses related to gender transition. And financial assistance and free in-person help are available in every state to help people making up to almost $47,000 a year access affordable coverage.But even with all these wonderful opportunities, many of our brothers and sisters will still go uninsured if we don't start to loudly and persistently share this information within our LGBT family. I'm using the word "family" with great intent, because family members take care of each other -- and we must make it our business to look after each other. That's what solidarity means.When I moved to New York City in 2006, I was in search of an LGBT family, because I had zero understanding of what my life and my world would look like in this strange new place. It took the help of a broad swath of individuals for me to understand how to navigate not only New York but the world as a newly out gay man. These "family" members knew the world I was stepping out into, and they stepped up to prepare me for the ups and downs that lay ahead.So now that I've stepped into my own personhood, I understand the responsibility and the need to "pay it forward." That's why I'm taking action to let everyone in my community know about the importance of obtaining health insurance coverage and health care.As an LGBT community, we must continue to work to foster real solidarity around health and health care. We must be willing to share the good news about the benefits of health care. Let's never assume that everyone has health care or knows what they can do to find affordable health coverage. Let's embody the definition of family by beginning this new year with a charge that propels us to act as our brother's and sister's keeper to ensure they have the information they need to make an informed choice about health coverage.Join me. Share the word about what the new affordable coverage options available for LGBT people. Let's link arms and march forward toward a brighter future like our lives depend on it--because they do. Reported by Huffington Post 16 hours ago.

Feds to Taxpayers: Did You Get Health Insurance?

$
0
0
Two to 4 percent of taxpayers will end up paying a fine because they didn't have health insurance last year, federal health officials predict. Reported by msnbc.com 15 hours ago.

Poll: Most say restore health aid if court kills subsidies

$
0
0
WASHINGTON (AP) — Most Americans including significant numbers of Republicans would want lawmakers to restore federal aid for buying coverage under President Barack Obama's health care law if the Supreme Court annuls some of the subsidies, according to a poll released Wednesday. Overall, the 2010 revamping of the nation's health care system remains broadly unpopular, according to the nonpartisan Kaiser Family Foundation's survey. The court will hear arguments in March in the case, in which critics of Obama's law say the statute allows federal subsidies only in states that have established their own health insurance marketplaces, and not in states whose markets are run by Washington. [...] in the Kaiser survey, 64 percent said if the court rules that subsidies should be available only in states running their own markets, Congress should make people in all states eligible for federal aid. Hoping to ramp up pressure on the administration, House Republicans wrote Wednesday to Health and Human Services Secretary Sylvia Burwell that the court decision could have "a profound impact" and asked her to detail federal preparations for a ruling. Reported by SeattlePI.com 15 hours ago.

Maidan One Year Later: What Happened to the Social Component?

$
0
0
Amidst increasing hostilities in Ukraine, many of the social aims of the Maidan revolution could be lost or simply forgotten. That, at least, is the impression I got from speaking to activists on the independent left circuit, not to be confused with the old Soviet and authoritarian left. During a recent research trip to Kiev, organizers expressed dismay that war with Russian separatists in the east of the country had served to distract the nation's attention from urgent social reform, including the need for progressive taxation and redistribution of wealth.

Denis Pilash cut his teeth while working with a local student labor union, and later the activist took part in popular protests which helped to topple the unpopular government of Viktor Yanukovych. Though he participated in the Maidan movement, Pilash does not share the mainstream's triumphalist narrative about the overall course of events. To be sure, Pilash and his colleagues did their utmost to inject a bit of radical politics at Maidan square. They distributed leaflets, for example, calling for improved healthcare and education and a ban on offshore money laundering. From the very outset, however, Pilash held a "very pessimistic outlook" about the potential for meaningful social change.

*Initial Skepticism*

Pilash wasn't alone. Take for example Denis Gorbach, another political activist who helped co-found the Autonomous Workers' Union, an outfit which aims to organize industrial laborers in the workplace along anarcho-syndicalist lines. When protests erupted on Maidan, Gorbach and his group initially refrained from participating. In the first few weeks, the activist adds, most of the demonstrations consisted of mere pro-European Union students and liberals.

When you hear about student activists in Ukraine, Gorbach adds, don't immediately assume they are on the independent left. "More often than not," Gorbach continues, "you're talking about hard-line nationalists or liberals.""We were very skeptical," Gorbach remarks, "because at the beginning, in November 2013, the whole movement was merely intent on making president Yanukovych sign a trade pact with the European Union." Gorbach was also hesitant when he witnessed "repeated acts of violence" by the far right at Maidan.

*Radicalization on the Maidan*

Nevertheless, by January, 2014 Gorbach began to sense a palpable change in crowd dynamics. As parliament became increasingly dictatorial, it became evident to Gorbach that Maidan was no longer about rival trade pacts or individual politicians like Yanukovych but rather had morphed into a struggle "about individual freedoms and individual rights."

From this point onwards, it was clear there was no turning back: for Gorbach, Maidan became "a choice between a more repressive Yanukovych tied increasingly to the Kremlin; or the demonstrators who weren't exactly our political ideal though certainly more progressive than the government." Down at Maidan square, some of Gorbach's colleagues participated in protests while sustaining severe injuries. The activist adds that his group "received a considerable influx of people who hadn't been political up to that point."

Pilash, too, was becoming less skeptical. On the Maidan, he tells me, it was common to hear people chanting "all politicians out!" The grassroots, it seemed, had become more anti-establishment. Many protesters, Pilash adds, started to become radicalized and to call for punitive measures against Ukrainian oligarchs and the powerful. For example, demonstrators sought to put an end to the corrupt and incestuous alliance between business and government. Moreover, they also sought to shed light on privatization initiatives so as to reveal the true extent of what had been stolen.

*Class Dynamics on the Maidan*

At this point, Maidan might have become even more radical by pushing a truly transcendent social agenda. Unfortunately, Gorbach says, the movement was hindered by internal frictions and a lack of long-term vision. To be sure, the activist remarks, the working class, which included office and industrial laborers, "was obviously dominant" at Maidan. On the other hand, even though the working class was numerically important, it didn't steer developments on the ground. Though trade union leaders sought to play a role at Maidan, such moves weren't backed up by the rank and file. That's not too surprising, Gorbach adds, since the "the regular trade union movement is extremely weak and almost non-existent" in Ukraine.

In the midst of political confusion, Gorbach says, "it was difficult to say who was actually in control" on the Maidan. For its part, the opposition took to the stage and politicians sought to "put on the brakes and steer things as they saw fit." The working class might have taken advantage of the circumstances by pushing harder for its own agenda, but progressive forces instead chose to pursue limited short-term goals and ally with business oligarchs. Maidan became a multi-class movement, united in its desire to merely get rid of Yanukovych.

Progressive elements also lacked cohesive self-organization. "As I see it," Gorbach says, "people were acting as individuals in the crowd. They were unable to establish a decision-making mechanism like they did at Occupy." Gorbach says the crowd did establish a kind of archaic, medieval decision- making body which encouraged people to elect their leaders by shouting or even throwing their hats into the air. That's a "very primitive understanding of democracy, which is fine for the twelfth century but not for the twenty first," Gorbach remarks in a rather drole aside.

*Dashed Hopes?*

Initially at least, Pilash says that many people on the Maidan were receptive to a more progressive social agenda, though over time "you saw a lot less of this kind of rhetoric," and such ideas were entirely lost amidst all the "mainstream, pro-market neo-liberal politics." What is more, the crowd stopped being assertive in its demands and lost its momentum, solidarity and sense of unity. "When protests ended," Pilash declares, "ordinary people weren't involved in making decisions anymore and left such tasks to the establishment." In the wake of Poroshenko's electoral victory, civil society retreated and "there is very little political engagement."

If anything, however, recent developments prove the need for a strong and independent left. Indeed, political elites seem intent on pursuing radical deregulation, including cuts in energy subsidies and public expenditure. Meanwhile, the government is pushing privatization and "liberalization" of the labor market. Fiscal Times writes, "since we detest euphemisms here, this means hire 'em-fire 'em will be the new rule." Finally, "a health-insurance system of unspecified structure will be introduced and public spending on education will be determined on the basis of merit." For the technocrats, this all sounds great but "if you are a housewife, a student, or a steamfitter, this might just as rationally sound like somebody's idea of hell."

Can Ukraine's independent left present a viable challenge to the technocratic elites and their "neo-liberal" agenda? Anton Shekhovstov, a visiting fellow at the Institute of Human Sciences in Vienna and an expert on Ukrainian politics, is somewhat skeptical. "Politically," he says, "such forces are not very viable or competitive in elections. There are some left wing/liberal forces which I would call progressive, but we're not talking about political parties but rather clubs, milieus or circles around particular magazines." The expert adds "I don't think the left can oppose right wing nationalism. Their share of the vote [if you subtract the old Communist Party of Ukraine, which isn't even that Communist but more pro-Russian] is smaller than the political right's. I think the only force which can counter right wing extremism is the mainstream political center."

Nevertheless, a series of recent protests suggest that Ukraine's political elites may have a tougher time ramming through reforms than might have been expected. Indeed, several thousand people recently rallied in Kiev against austerity policies. Reportedly, the protest included civil servants, teachers, doctors and students. "Things have tilted so far to the right that disillusionment is inevitable," says Pilash. The activist adds that once people start to learn more about the technocrats' true intentions, "this small Ukrainian left will undertake actions closer akin to Occupy Wall Street." Pilash muses, perhaps prophetically, "I don't think this last Maidan was the last."

Nikolas Kozloff is a New York-based political writer who recently conducted a research trip to Ukraine. Reported by Huffington Post 14 hours ago.

Jefferson Parish employee co-payments shoot up under new carrier

$
0
0
Jefferson Parish's roughly 3,000 employees were assured last summer that their health insurance wouldn't change significantly when the local government switched carriers for 2015. So said Council Chairman Chris Roberts at the Parish Council meeting Wednesday. "We are now understanding... Reported by nola.com 12 hours ago.

Up to 3,615 Coloradans lost health coverage by mistake on exchange

$
0
0
Connect for Health Colorado, the state's health insurance exchange, is scrambling to fix yet another problem with its website. Reported by Denver Post 12 hours ago.

Up to Six Million Households Facing Health Insurance Penalty

$
0
0
As many as six million households may have to pay a penalty for not having had health insurance coverage last year as required under the Affordable Care Act. The fine for not carrying insurance in 2014 is $95 per adult, or 1% of family income, whichever is greater. Reported by Wall Street Journal 7 hours ago.

Urgent Care Centers Market Expected to Reach USD 30.5 Billion Globally in 2020: Transparency Market Research

$
0
0
Transparency Market Research releases a new market research report "Urgent Care Centers Market (Illness, Injury, Physical, Vaccination, Diagnostic and Screening) - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2014 - 2020" to add to its collection of research reports.

Albany, New York (PRWEB) January 29, 2015

According to a new market report published by Transparency Market Research “Urgent Care Centers Market - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2014 - 2020,” the global urgent care centers market was valued at USD 23.5 billion in 2013 and is expected to grow at a CAGR of 3.8% from 2014 to 2020, to reach an estimated value of USD 30.5 billion by 2020.

UCCs offer services on a walk-in, no appointment basis for non-life threatening illnesses and injuries. The majority of UCCs also provide services in occupational medicine, vaccinations, diagnostic, screening and monitoring and school physicals. Over the last two decades, the number of UCCs has been increasing all over the U.S., and the number continues to grow. Presently, more than 9,000 urgent care centers are operational in the United States alone.

Market Research Report of Urgent Care Centers: http://www.transparencymarketresearch.com/urgent-care-centers-market.html

The UCCs market is a diverse playing field where pioneering leaders have built urgent care models to address the extensive demand for cost-efficient and convenient health care. The UCCs have seen significant growth over the last decade due to longer waiting times for appointments with emergency departments (EDs) and primary care providers, difficulty in same-day access for sick care and limited access to after-hours care at hospitals and other health care providers. Majority of the UCCs operate seven days a week, and remain open from 9:00 am to 7:00 pm or later on weeknights. A physician, nurse practitioner, or physician assistant usually attends patients within 15 to 45 minutes on arrival in comparison to approximately four-hour average ED visit time. The UCCs market is expected to witness more transactions and consolidations in the next three to four years. One of the important factors driving the market is the constantly increasing insured population. Expanding health insurance coverage in the U.S. is expected to increase the demand for urgent care services. Patients with private coverage are more likely to seek medical treatment at an urgent care center than at an ED or other hospital settings. The Patient Protection and Affordable Care Act (2010) have added coverage for a new group of approximately 32 million individuals in 2014. The changes brought by the Affordable Care Act would be pivotal to UCCs becoming a standard for convenient and affordable public health care. According to industry experts, the new act would influence the Urgent Care Centers Market significantly by penetrating into the sub-urban areas.

The urgent care industry would continue to be a forcing house of deals over the next five years, as different financial and strategic partners race to institute a strong geographical presence and larger market share. With the current trend, UCCs would quickly replace primary care physicians and emergency rooms across the U.S. Consequently, dozens of private equity firms have already put capital to work in UCCs across the country to exploit the high profit margin health care market. The market has already seen huge capital investments from leading equity firms in the past few years.

However, physician access is expected to worsen in the next few years and could affect the growth of the UCCs market. The American Association of Medical Colleges stated that up to one third of the physician population would retire in the next decade, which is expected to have a restraining effect on the growth of the overall UCCs market.

Press Release of Urgent Care Centers Market: http://www.transparencymarketresearch.com/pressrelease/urgent-care-centers-market.htm

The global urgent care centers market is segmented on the basis of major services offered by the centers. These include services for moderate illness, injury and trauma, physical, routine vaccination, diagnostic and screening and monitoring. The major share of the revenue was generated through illness services that accounted for majority of the share in the global urgent care centers market followed by the injury segment. Diagnostic segment has been anticipated to grow at a fastest CAGR during the forecast period from 2014 to 2020 due to increasing prevalence of metabolic and cardiovascular diseases.

In a geographical sense, the market has been categorized into four major regions, namely, North America, Europe, Asia Pacific and Rest of the World. North America accounted for the maximum share of the global market in 2013 followed by Europe. The ever increasing demand for affordable and convenient health care in the U.S. has been the major contributing factor for the growth of market in this region. The market for UCCs is expected to grow at a rapid pace during the forecast period from 2014 to 2020 in the Asia Pacific and Rest of the World market. The improving healthcare infrastructure in this region is attributed to the growth the urgent care centers market in this region. Competitive landscape of UCCs market consists of a large number of small players along with very few companies with international reach. Concentra Inc. was the largest stake holder in 2013 with an over 310 centers across 40 states.

To Request Sample Report in PDF Click here: http://www.transparencymarketresearch.com/sample/sample.php?flag=S&rep_id=2254

The global medical waste management market is segmented as follows:

Urgent Care Centers Market, by Services·     Illness
·     Injury
·     Physical
·     Vaccination
·     Diagnostic
·     Screening

Urgent Care Centers Market, by Geography·     North America
·     Europe
·     Asia-Pacific
·     Rest of the World (RoW)

Other Published Report By Transparency Market Research:· U.S. Vaccine Market: http://www.transparencymarketresearch.com/us-vaccine-market.html

About Us:

Transparency Market Research is a global market intelligence company, providing global business information reports and services. Our exclusive blend of quantitative forecasting and trends analysis provides forward-looking insight for thousands of decision makers. We are privileged with highly experienced team of Analysts, Researchers, and Consultants, who use proprietary data sources and various tools and techniques to gather, and analyze information.

Our data repository is continuously updated and revised by a team of research experts, so that it always reflects the latest trends and information. With a broad research and analysis capability, Transparency Market Research employs rigorous primary and secondary research techniques in developing distinctive data sets and research material for business reports.

Contact:
Mr. Nachiket Ghumare
State Tower,
90 State Street,
Suite 700,
Albany NY - 12207
United States
Tel: +1-518-618-1030
USA - Canada Toll Free: 866-552-3453
Email: sales(at)transparencymarketresearch(dot)com
Website: http://www.transparencymarketresearch.com/ Reported by PRWeb 4 hours ago.

Nobility RCM, a healthcare company in Chandler, AZ, shows how High Deductible Health Plans are adversely impacting Medical Practitioners

$
0
0
Nobility RCM, a new healthcare company in Chandler, AZ is creating the Nobility Pre-Funding Program. The program is designed to help eliminate the uncertainty of medical billing and insurance reimbursement payments to physicians and medical practices.

Chandler, Arizona (PRWEB) January 29, 2015

With more and more employers opting for affordable health care plans, the percentage of people signing up for High Deductible Health Plans (HDHPs) is increasing. According to a census report released by America’s Health Insurance Plans (AHIP), the average annual growth of HDHP enrollment was 15% since 2011. This is a massive increase, and enrollments are set to head north in the future.

At first glance, this increase in enrollment looks like good news and the fact that Americans are serious about health care. But dig deep and the truth is something else. According to a report released by The Commonwealth Fund (http://www.commonwealthfund.org/~/media/files/publications/issue-brief/2014/dec/1793_collins_nat_premium_trends_2003_2013.pdf) employees are unable to maximize the benefits of employer based health-insurance like HDHP. One of the biggest reasons behind this inability to benefit from health insurance is the rising cost of premiums. Another reason is the rising cost of health care, which means lots of people cannot afford to pay the deductible amount.

There are cases where patients are actually delaying necessary health procedures because they are covered by HDHP, which demands they reach into their pockets to make an upfront payment that, very often, is substantial.

As can be imagined, this has taken a toll on the financials of medical practitioners. Patients covered under HDHP, many a times, do not pay their deductibles. At times, they postpone payments or make staggered payments.

This does nothing for the profitability of their healthcare practice. Research shows there is a 14% drop in health care spending of people who have shifted to HDHP.(http://www.rand.org/news/press/2011/03/25.html) Health care providers are at the receiving end of this decreased spending.

These health care providers, therefore, have to come up with a solution for HDHP. As more people sign up for this health plan, they might find themselves in a financial soup, if they cannot put in place a mechanism that accelerates payments from people who are covered under HDHP. The focus must be on ensuring that the patient’s reluctance to pay the deductible amount doesn’t impact them financially.

The idea is to ensure that these patients don’t act as a barrier to their cash flow. This was the main reason for creating the Nobility Pre-Funding program. Nobility Pre-Funding pays the physician first then collects from insurance and patients.

It’s important that medical practitioners start looking for long term solutions for this problem; something that allows them to take care of their patients and at the same time, ensure a seamless billing process vis-à-vis patients covered under HDHP.

Nobility RCM helps physicians succeed.

Independent medical practices and healthcare networks have struggled to maintain stable cash flow in order to meet the growing demand of patients as the Affordable Care Act continue to expand enrollment.

“After many years helping healthcare practices find higher revenue and better profits we created a system that took the risk out of the equation so they could focus on great patient care.” says Michael Fossum, CEO of Nobility.”

About Nobility RCM
The main mission of Nobility RCM is to help physicians and practices achieve financial freedom through 3 core services that include Revenue Pre-Funding, Complete Medical Billing, and EHR support.

Visit NobilityRCM at http://www.nobilityrcm.com/High-Deductible-Plans to download the free full report. Reported by PRWeb 4 hours ago.

River Valley Health Partners Issues Letter in Support of Ohio Continuing Extended Medicaid

$
0
0
In January of 2014 Ohio made the wise decision to extend Medicaid health insurance coverage to some of Ohio's most vulnerable citizens. For the sake of those individuals and our state, Ohio needs to continue extended Medicaid.

(PRWEB) January 29, 2015

In January of 2014 Ohio made the wise decision to extend Medicaid health insurance coverage to some of Ohio's most vulnerable citizens. For the sake of those individuals and our state, Ohio needs to continue extended Medicaid.

In 2014 governor John Kasich defied his party and asked the Controlling Board of Ohio to accept the extended Medicaid funds from the federal government. In doing so he effectively made Medicaid expansion happen. But, Medicaid spending must be reauthorized by state lawmakers as part the of the state’s two-year budget cycle, which ends in June. That gives the legislature the power to rollback the expansion. River Valley Health Partners President and CEO, Ken Cochran, issued the attached letter in support of extending Medicaid funding.

"There are many good things that extended Medicaid is doing for Ohio, but I want to focus on what it does for healthcare access in our community. Operating in a small Appalachian community, our hospital takes great pride in being able to serve the poor and afflicted. Extended Medicaid has allowed us to serve more individuals, diagnose diseases sooner, and begin building the foundation of a healthier community," said Ken Cochran, President & CEO of River Valley Health Partners.

Increased access to primary and preventative care helps in many cases by allowing our healthcare providers to see patients earlier and more frequently. Increased access helps patients identify health issues sooner and avoid more costly procedures and treatments later. Access to quality healthcare, as a result of Medicaid extension, works to help transform how individuals use our healthcare system.

While there may be much left to do to improve the Ohio healthcare system, extended Medicaid was and is a significant step in the right direction. Reported by PRWeb 4 hours ago.

Empyrean Benefit Solutions Selected as Technology Platform for New Private Exchange Partners

$
0
0
Empyrean’s scalable technology enables brokers and insurance companies to offer a broader solution set to their clients and adapt to rapid growth in the exchange marketplace.

Houston, TX (PRWEB) January 29, 2015

Empyrean Benefit Solutions, Inc. announced today that it has added two companies to the growing list of partners using Empyrean’s technology to power their private exchange solutions. As brokers and insurance carriers look to expand their programs to meet the demands of a more consumer-driven health insurance industry, they have selected Empyrean’s integrated software platform as the technology to support an exchange option for their clients.

Brokers and carriers recognize the growing need to support companies that wish to offer private exchanges to their employees while still offering traditional benefit plans. Empyrean’s technology platform was purpose built to enable brokers and carriers to easily provide an exchange model and accommodate the evolving benefits strategies of their clients. Empyrean Benefit Solutions CEO Richard Wolfe explains, "As consumer-oriented exchanges began to emerge several years ago, we designed our platform to seamlessly support private exchange solutions as well as legacy benefit programs to facilitate smooth transitions for companies considering both models."

The Empyrean platform includes an intuitive employee interface for purchasing health insurance and voluntary programs, an easy to configure administrative tool set, and a sophisticated application program interface (API) that easily integrates a company’s existing health benefits plan with exchange solutions. Empyrean continues to engage in new broker and carrier relationships and provide the advanced technology and services they need to offer a broader array of solutions to their clients in an ever-changing healthcare benefits marketplace.

About Empyrean
Empyrean Benefit Solutions is one of the fastest-growing providers of technology and services for managing health and benefits programs. Empyrean provides enrollment, eligibility management, ACA services and compliance, as well as a range of other plan administration services to employers, insurance brokers, and healthcare exchanges. Empyrean’s innovative technology and dedicated experts enable organizations to deliver an exceptional benefits experience completely aligned with their evolving benefits strategies.

Learn more at https://goempyrean.com/content/exchange-solutions Reported by PRWeb 23 hours ago.

Anthem Blue Cross' $38 Billion Move From Fee-For-Service Medicine

$
0
0
Joining the parade of health insurance companies leaving fee-for-service medicine in its wake, Anthem (ANTM) says it, too, will ramp up value-based payments to providers of medical care beyond the nearly $40 billion annual commitment it is already making. Reported by Forbes.com 22 hours ago.

Anthem Blue Cross' $38 Billion Bolt From Fee-For-Service Medicine

$
0
0
Joining the parade of health insurance companies leaving fee-for-service medicine in its wake, Anthem (ANTM) says it, too, will ramp up value-based payments to providers of medical care beyond the nearly $40 billion annual commitment it is already making. The nation’s second-largest health insurer is moving quickly from the traditional fee-for-service [...] Reported by Forbes.com 23 hours ago.

February 15 Open Enrollment Deadline for 2015 Healthcare Coverage

$
0
0
The Don Allred Insurance Agency would like to take this opportunity to remind existing and future clients that the Open Enrollment deadline to apply for 2015 healthcare coverage under the Affordable Care Act is February 15.

(PRWEB) January 29, 2015

The Don Allred Insurance Agency would like to take this opportunity to remind existing and future clients that the Open Enrollment deadline to apply for 2015 healthcare coverage under the Affordable Care Act is February 15. Individuals seeking insurance for the current calendar year must submit an application to healthcare.gov on or before this date to guarantee coverage.

Allred Insurance spokesman Scott Allred urges clients to meet with an agent as soon as possible to avoid last-minute snafus.

“We expect a huge surge in walk-ins at our main office as well as our Holly Hill Mall satellite location in the coming weeks,” Allred says. “We recommend that clients come in this week or next week, rather than wait until the very last day. That way, if there’s a problem with their application, supporting documents, or first premium payment, the client still has time to work through the issue with us before the deadline hits.”

The consequences of missing the Open Enrollment deadline can be severe, and range from losing marketplace insurance eligibility for the entire year to paying fines of $325 or more. However, individuals may still obtain health insurance after the Open Enrollment deadline if they meet certain criteria, including getting married or divorced, having a baby, moving to a new state, or experiencing similar “qualifying life events.”

“Even if clients think they might be eligible for the Special Enrollment Period, they should still stop by now for a quick consultation,” Allred says. “We’ll look over their case and clearly identify their status so they can take appropriate action and avoid potential penalties.”

From now until February 15, the Allred satellite office in the Holly Hill Mall will accept walk-ins from 1 p.m. to 6 p.m. on Fridays; 10 a.m. to 2 p.m. on Saturdays; and 1 p.m. to 5 p.m. on Sundays. Meetings at our primary South Church Street office are by appointment only.

For more information about signing up for marketplace insurance coverage prior to the Open Enrollment deadline or to verify your Special Enrollment eligibility, please visit http://www.allredinsurance.com. Reported by PRWeb 22 hours ago.

Horizon Blue Cross Blue Shield of New Jersey Expands Patient-Centered Programs, Delivering Better Care to More Than 750,000 Horizon Members

$
0
0
Horizon BCBSNJ's patient-centered programs are working to lower costs and improve health outcomes

Newark, NJ (PRWEB) January 29, 2015

Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) announced the expansion of their patient-centered programs dedicated to improving patient care coordination, reducing unnecessary costs and improving the patient experience. The expansion means more than 750,000 members are now being treated by doctors in Horizon BCBSNJ’s patient-centered programs.

“Horizon is committed to transforming how health care is delivered in New Jersey,” said Robert A. Marino, chairman and CEO of Horizon BCBSNJ. “With this expansion, we continue to lead this effort with innovative doctors across this state, benefiting more than 750,000 of our members. We will continue to expand our patient-centered programs so that more of our members benefit from more coordinated and efficient patient care.”

The review of 2013 claims data demonstrate that patient-centered care works to improve the quality of care while lowering total health care costs. Claims data compared outcomes for more than 200,000 Horizon BCBSNJ members using patient-centered practices with outcomes for members using traditional primary care practices and found a:· 14 percent higher rate in improved diabetes control.
· 12 percent higher rate in cholesterol management.
· 8 percent higher rate in breast cancer screenings.
· 6 percent higher rate in colorectal cancer screenings.

Results also showed that more active care is being provided at a lower cost, as Horizon BCBSNJ members in patient-centered practices had a:

· 4 percent lower rate in emergency room visits.
· 2 percent lower rate in hospital admissions.
· 4 percent lower cost of care for diabetic patients.
· 4 percent lower total cost of care.

“Horizon’s patient-centered programs are working to lower costs and improve health outcomes,” said Jim Albano, Horizon BCBSNJ’s Vice President of Network Management and Horizon Healthcare Innovations. “We are pleased with the results and this program demonstrates how we can work with innovative doctors, hospitals, nurses, care teams, and make great strides toward delivering better care at a lower cost.”

“Patient-centered” care refers to an innovative approach where health insurance companies provide incentives to doctors to meet certain clinical quality, patient satisfaction, and efficiency benchmarks. Unlike the traditional fee-for-service model, patient-centered practices are also financially rewarded to improve the patient experience and improve patient care based upon national clinical guidelines.

Patient-centered practices provide patients with more coordinated and personalized care, including:

· A care coordinator who provides additional patient support, information and outreach.
· Wellness and preventive care based on national clinical guidelines.
· Extra wellness support and education.
· Active patient monitoring and communication from the doctor and care coordinator.
· Active coordination of a patient’s care with specialists and other providers.

For a look into how a patient-centered practice is improving the patient experience, coordinating and personalizing the care for Horizon BCBSNJ members, click here.

There are more than 6,000 network doctors participating in Horizon BCBSNJ’s patient-centered programs. The patient-centered practices include doctors in Patient-Centered Medical Homes (PCMHs), Accountable Care Organizations (ACOs) and practices focused on Episodes of Care across New Jersey. To learn more about Horizon BCBSNJ’s patient-centered Programs, click here.

About Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer is a tax-paying, not-for-profit health service corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is leading the transformation of health care in New Jersey by working with doctors and hospitals to deliver innovative, patient-centered programs that reward the quality, not quantity, of care patients receive. Learn more at http://www.HorizonBlue.com. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.7 million members.

### Reported by PRWeb 21 hours ago.
Viewing all 22794 articles
Browse latest View live




Latest Images