UnitedHealth hikes annual forecast, offers glimpse into 2020
UnitedHealth Group raised its 2019 forecast and detailed another better-than-expected quarter Tuesday, but shares soared after company leaders mentioned next year's growth prospects.
MADISON, Wis. (AP) — Gov. Tony Evers is announcing a new partnership between state agencies to enroll more people in health insurance plans.
Sanford Health, Good Samaritan Society merger complete
SIOUX FALLS, S.D. (AP) — The senior care provider Evangelical Lutheran Good Samaritan Society and medical and health insurance provider Sanford Health have officially combined.
The society membership and the board of the Dakotas-based health network approved a merger last June. It later received regulatory approval, and the two nonprofits announced Wednesday that the affiliation is complete.
Federal agency sues Hawaii health insurance provider
HONOLULU (AP) — A federal civil rights agency has filed a lawsuit against one of Hawaii's largest health insurance providers, claiming it discriminated against a group of disabled workers.
The U.S. Equal Employment Opportunity Commission claims the Hawaii Medical Service Association denied occasional leave for medical treatment to employees with disabilities without offering other options — violating the federal Americans with Disabilities Act.
Citizens panel helps doctors get reimbursed
Although newly formed, the Arizona Healthcare Accountability Committee has begun to affect the speed at which doctors throughout Mohave County are reimbursed for their services.
Walker plan to lower insurance rates wins committee approval
MADISON, Wis. (AP) — Gov. Scott Walker's $200 million plan to help lower premiums for people buying insurance on the private marketplace won bipartisan approval Tuesday from a key legislative committee, but the panel punted on finding a way to pay for it.
Walker’s reinsurance plan wins support from insurers, others
MADISON, Wis. (AP) — Gov. Scott Walker's $200 million plan to reduce health care costs for people purchasing insurance through the private marketplace won support from Wisconsin's health insurance providers, doctors and medical community at a public hearing Monday, even as Democrats raised concerns about its sustainability.
The Latest: Insurers, medical community support Walker idea
MADISON, Wis. (AP) — The Latest on public hearing on Gov. Scott Walker's health insurance, rural economic development bills (all times local):
Gov. Scott Walker's $200 million plan to reduce health care costs for people purchasing insurance through the private marketplace is winning support from Wisconsin's health insurance providers, doctors and medical community.
The Legislature's budget-writing committee heard the measure Monday.
New Mexico AG presses for collection of unpaid taxes
ALBUQUERQUE, N.M. (AP) — New Mexico Attorney General Hector Balderas is putting more pressure on insurance regulators to collect millions of dollars in unpaid premium taxes from health insurance providers operating in the state.
Balderas in a letter sent Wednesday to Insurance Superintendent John Franchini asked for an accounting of what is owned by each company and what the procedure and timeframe will be for collecting the money.
New Mexico, insurance firm reach $18.5M deal on unpaid taxes
ALBUQUERQUE, N.M. (AP) — New Mexico's largest health insurance provider will pay $18.5 million to resolve unpaid taxes to the state dating back more than a decade under a legal settlement with state prosecutors, New Mexico Attorney General Hector Balderas announced Monday.
Three state insurance regulators who came forward as whistleblowers and exposed the case will split $3.7 million of the settlement.
Audit reveals unpaid New Mexico taxes by insurance companies
SANTA FE, N.M. (AP) — A long list of insurance companies failed to pay taxes on insurance premiums of nearly $65 million to the state of New Mexico since 2003, according to an independent audit released Tuesday that could weigh in ongoing legal proceedings against a major health insurance provider.
The independent, state-commissioned audit by Atlanta-based Examination Resources delved into tax collections efforts at the Office of the Superintendent of Insurance for 30 insurance companies.
Columbia County to change employee health insurance provider
The Columbia County Board’s Human Resources Committee on Friday adjourned its meeting knowing only two things for sure about employee health insurance for 2018.
They knew that employees will no longer be covered by Group Health Trust. And they knew that the cost of coverage, for the county and for participating employees, would go up next year by no more than 7 percent.
Feds allege California Marines involved in $67M health fraud
SAN DIEGO (AP) — Federal authorities say Southern California Marines were recruited for a scheme that bilked the government's military health insurance provider out of $67 million.
The San Diego Union-Tribune (http://bit.ly/2v1kixi) says a complaint was filed Thursday in San Diego as part of a civil asset forfeiture case. Authorities are trying to seize the property of a Tennessee couple.
New Mexico AG targets major health care provider over taxes
ALBUQUERQUE, N.M. (AP) — New Mexico's top prosecutor is suing one of the state's largest health insurance providers over allegations that it falsified Medicaid deductions and credits and as a result evaded tens of millions of dollars in premium taxes and surcharges.
State Attorney General Hector Balderas on Tuesday filed a lawsuit against Presbyterian Health Plan Inc., Presbyterian Network Inc. and Presbyterian Insurance Co. Inc.
ALBUQUERQUE, N.M. (AP) — The Latest on the New Mexico attorney general's allegations of tax fraud against a major insurance provider (all times local):
One of the state's largest health insurance providers is rejecting allegations that it underpaid premium taxes and surcharges by falsifying deductions and credits through the Medicaid program.
PORTLAND, Maine (AP) — A major health insurance provider in Maine is predicting enrollment in the state's Affordable Care Act insurance market will drop.
The Portland Press Herald reports (http://bit.ly/2rTLBID ) Anthem Blue Cross and Blue Shield foresees an 11 percent drop in Maine's ACA marketplace. Anthem attributes the potential decrease to President Donald Trump's health care policies.
Indiana’s ACA health insurance providers propose rate hikes
INDIANAPOLIS (AP) — Indiana residents who purchase individual health care coverage through the Affordable Care Act's insurance exchanges could see premiums rise next year — or even double in some cases.
SANTA FE, N.M. (AP) — All four health insurance providers on New Mexico's state-run exchange have submitted rate proposals for the coming year, despite uncertainty about key federal subsidies.
New Mexico Health Connections CEO Martin Hickey said Thursday his cooperative is proposing a nearly 80 percent premium increase for individuals. The proposal may be lowered in July.
2 Arizona health insurers plan to sell coverage in 2018
PHOENIX (AP) — The only two insurance companies offering individual health plans on federal exchanges in Arizona have filed paperwork to continue selling coverage in 2018, raising hopes that the state can avoid a repeat of last year's crisis when one county was briefly left without a health insurance provider.
WASHINGTON — Sen. Chris Murphy on Tuesday attributed weaknesses of the Affordable Care Act to President Donald Trump’s failure to “support and implement the law.’’
“This is a Trump talking point, that affordable health care is in a death spiral,’’ Murphy said. “Let’s be clear: President Trump is the one killing it.’’
MONTPELIER, Vt. (AP) — Vermont's largest health insurance provider is asking state regulators for permission to raise its rates by 12.7 percent.
Blue Cross and Blue Shield of Vermont says about half of the increase is due to a federal tax mandated by the Affordable Care Act that was not in place last year, the shift of costs from Medicare and Medicaid and because Vermonters are getting older.
Pre-existing conditions and the health plan: Who’s covered?
The Republican push to replace the Affordable Care Act was revived this week in Congress by a small change to their plan designed to combat concerns over coverage for those with pre-existing health problems.
The change helped get the bill through the House of Representatives in a tight vote Thursday, but experts say it may make little difference in the hunt for affordable coverage for these patients.
Madison School Board OKs big change in employee health insurance options
Employees of the Madison School District will have one fewer health insurance provider to choose from, requiring just over 1,000 employees to find a new primary care doctor.
But the estimated $3 million the district will save from dropping Unity, its highest-cost provider, will help bankroll increased compensation for the district’s roughly 4,000 employees, while covering any additional premium costs the new state budget may require them to pay.
MIAMI (AP) — Nine people are headed to federal prison after pleading guilty to a South Florida-based, $172 million scheme involving fraudulent medications.
Federal prosecutors said Friday that prison sentences ranging from 15 years to two years were imposed. The defendants were also ordered to forfeit about $30 million in ill-gotten gains.
RICHMOND, Va. (AP) — Virginia Commonwealth University Health System is notifying roughly 2,700 patients that their medical records have been improperly accessed.
Inside Bulloch Business with DeWayne Grice - Navigating tricky health insurance changes
Health insurance providers are requesting huge rate increases and many are pulling out of the individual medical insurance markets altogether. Since health care reform began in 2014, with the passage of the Affordable Care Act, local businesses and employees have struggled to stay on top of the changes.Since more than 80 percent of the workforce in Bulloch County has employer provided healthcare, the issue is not as large of a concern for many of them as it is for their employers. However, for...
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