Industry News

AMA Supports Recommended Medical Loss Ratio Rules

Medical Insurance News - 15 hours 31 min ago
The American Medical Association and state medical societies are supporting a proposal by the National Association of Insurance Commissioners on what expenditures insurers can consider medical spending under the new health law...
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Uninsured Maine Adults With Mental Illness Struggle To Get Care; Florida Continues To Push To Repeal Reform

Medical Insurance News - 15 hours 31 min ago
Kennebec (Maine) Journal: "A growing number of uninsured Mainers with mental illness are falling through the cracks of the health care system because of state budget cuts and financial strains on nonprofits, according to state officials and private agencies...
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Today's Opinions And Editorials: The Costs Of Public Employees' Health Benefits, More On Medicare Advantage, Will Reform Undermine Medical Innovation?

Medical Insurance News - 15 hours 31 min ago
As Reform Improves The Overall Market, Inefficient Insurers Could Take Hits Kaiser Health News We want to spend just a little less, so that we have more money for other purposes. And we want to spend just a little differently, so that we're getting a higher quality, more humane health care system (Jonathan Cohn, 8/30)...
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Many Public Hospitals Face Increasing Pressures; Nonprofit Hospitals Face Uncertain Futures

Medical Insurance News - 16 hours 31 min ago
The Wall Street Journal: "Faced with mounting debt and looming costs from the new federal health-care law, many local governments are leaving the hospital business, shedding public facilities that can be the caregiver of last resort. ...
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Record Number Enrolled In Anti-Poverty Programs, COBRA Coverage Alternatives Examined

Medical Insurance News - 16 hours 31 min ago
One in six Americans is now taking advantage of government anti-poverty programs, including more than 50 million on Medicaid, for which enrollment is up 17 percent since the recession began in December 2007, USA Today reports. "The program has grown even before the new health care law adds about 16 million people, beginning in 2014. That has strained doctors. ...
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Some Small Businesses Look Forward To Health Care Tax Credits

Medical Insurance News - 16 hours 31 min ago
Word of new tax credits for some small businesses continued to make the rounds in news reports this weekend, as business owners seek to make sense of it details. The (Vancouver, Wash.) Columbian: "Clark County small businesses could get back up to 35 percent of the money they pay into health insurance premiums this year...
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Today's Opinions: Medicare Illusions, Small Biz Perks, Abortion Regs And More

Medical Insurance News - August 30, 2010 - 3:00am
Truth Catches Up To Democrats On Health Care CNN Americans told lawmakers in Washington that they wanted reforms that would lower costs; Democrats in Congress increased them. They said they wanted Medicare protected; Democrat leaders used it as a piggy bank, cutting hundreds of billions of dollars from Medicare to help pay for this massive new government expansion of health care (Sen...
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U-M Survey Of Americans' Values Finds That Core Values Unite Americans, Despite Divisions

Medical Insurance News - August 30, 2010 - 2:00am
Americans are united when it comes to many core values, according to a University of Michigan survey. But the nation is deeply divided about certain issues, including gay marriage, immigration, and universal healthcare...
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Higher Rates Of Depression Found Among Low-Income New Mothers, Study Says

Medical Insurance News - August 30, 2010 - 2:00am
More than 50% of infants in poverty are raised by mothers with mild to severe depression, which could contribute to problems in parenting and child development, according to a study by the Washington, D.C.-based Urban Institute, the Washington Post reports...
Categories: Industry News

Health Care Costs Weigh On Employers, Jobless Alike

Medical Insurance News - August 30, 2010 - 2:00am
News coverage reflects the ways in which employers, employees and unemployed people are confronting health care costs. Employees are resisting state and local government efforts to shift more health costs to workers, The Wall Street Journal reports...
Categories: Industry News

Roughly One In Six Cancer Survivors Forgo Some Medical Care Due To Cost, Study Finds

Medical Insurance News - August 30, 2010 - 2:00am
AARP Bulletin: "Two years after undergoing a double mastectomy and chemotherapy so severe she was hospitalized in intensive care for several weeks, breast cancer survivor Denise Hicks should be following what her doctors call 'the plan,'" which includes additional medications and treatments. But she can't. "Hicks has health insurance but already reached her coverage limits...
Categories: Industry News

Health Care Spending Falls; Drug And Health Care Companies Slow To Advertise Online

Medical Insurance News - August 30, 2010 - 2:00am
Bloomberg Businessweek: "Investors traditionally have viewed shares of health-care companies as havens from economic concerns. Now, many parts of the sector have drawn concern from investors amid worries the U.S. economy will slow in the second half of the year. ... So far this year, U.S. patient visits to doctors' offices fell 7...
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Insurers Embrace GOP With Campaign Cash; Palin Drives Abortion Wedge

Medical Insurance News - August 30, 2010 - 2:00am
After being labeled as "villains" and enemies of reform by Democrats, health insurers are shifting their cash to the coffers of Republican candidates, giving GOP campaigns eight times as much money, Bloomberg reports. "WellPoint, along with Coventry Health Care Inc. and Humana Inc., gave Republican candidates $315,000 from May through July, according to U.S. Federal Election Commission records...
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Research Roundups: Underinsured Children; Hospital Progress On Electronic Records; Federal Officials' Work On Comparative Effectiveness

Medical Insurance News - August 30, 2010 - 2:00am
New England Journal of Medicine: Underinsurance Among Children In The United States - This study examines the scope of underinsurance, or health insurance that fails to sufficiently meet the needs, of children living in the U.S. Based on information obtained from the 2007 National Survey of Children's Health, the authors of the study report, "19.3% - or 14.1 million - of all U.S...
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Montana Gov. Seeks Cheaper Drugs For Residents; Legal Immigrants May Lose Health Insurance In Mass.

Medical Insurance News - August 30, 2010 - 2:00am
The Associated Press: "Gov. Brian Schweitzer, cooking up a new plan to get cheaper prescription drugs for state residents, said he wants to let every Montanan get discounted medicine through Medicaid." It's his most recent idea about how "to either import cheaper name-brand prescriptions or to otherwise bypass what he sees as exorbitant prices charged by 'drug cartels...
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As A Result Of Health Reform, California Provider Groups Focusing On Accountable Care Organizations To Better Coordinate Care

Medical Insurance News - August 28, 2010 - 2:00am
HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that provider groups in California, including physician groups, independent practice associations, hospitals and medical foundations, are beginning to shape their role in the anticipated shift towards accountable care organizations (ACO)...
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STD Vaccine Viewed Positively According To Survey Of American Women

Medical Insurance News - August 28, 2010 - 12:00am
Cost but not convenience plays a significant role in attitudes about vaccination for common human papillomaviruses for women over the age of 26, according to the authors of a recent article in the journal Sexual Health. Currently, the two vaccines for human papillomavirus (HPV), which is the primary cause of cervical cancer, are U.S...
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Study: One In Four Kids Underinsured Before Recession

Medical Insurance News - August 27, 2010 - 4:00am
"Even prior to the onset of the economic recession in 2008, nearly one in four American parents with health insurance reported that their coverage was so inadequate they were unable to access the medical care their children needed," HealthDay/Bloomberg Businessweek reports...
Categories: Industry News

$1.3 Billion In Detroit Hospital Upgrades Could Drive Up Health Costs

Medical Insurance News - August 27, 2010 - 4:00am
A new report suggests that $1.3 billion in upgrades to hospitals in Detroit could drive up health care costs. The funding "may give a boost to Metro Detroit's languishing economy, but could also saddle residents with higher medical costs, according to an industry report funded by the United Auto Workers and Detroit's Big Three automakers," The Detroit News reports...
Categories: Industry News

Scaled Back Premium Increases Allowed For Calif. Insurer; Calif. Lawmakers Pass Bills Setting Up Exchange; Alaska Approves Abortion Notification Init.

Medical Insurance News - August 27, 2010 - 4:00am
The Los Angeles Times: "California insurance regulators cleared the way Wednesday for Anthem Blue Cross to implement scaled-back rate hikes after a previous increase was canceled amid an uproar over its size. Anthem said it intends to put the new rates - averaging 14% and as high as 20% - into effect Oct. 1 for nearly 800,000 individual California policyholders...
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