Learn more about how insurance companies interact with the third-party administrator of a prescription drug program.
Learn more about how insurance companies interact with the third-party administrator of a prescription drug program.
The Mental Health Parity Act (MHPA) was signed into United States law in 1996, mandating that any annual or lifetime dollar limits imposed on mental health benefits must be at least as high as the limits for physical health benefits.
Stressed women in a psychotherapy session
Learn more about the recent Labor Department proposal that will impact the gig economy and potentially change the requirements for health insurance offerings.
Gig workers are more common than in previous years.
Learn more about the medical malpractice insurance industry and some key takeaways to be aware of.
Medical malpractice insurance is necessary for all health care facilities.
What does the current PHE extension mean for insurance companies and how long will it last?
PHE has extended for another six months.
Learn more about the importance of ACA and adverse selection
Adverse selection plays a part in the ACA and overall insurance development.
Find out how moral hazards and adverse selection are connected and how they impact health insurance.
The situations that result in moral hazard and adverse selection are important considerations for insurance companies.
From chronic disease management and improving care for patients, insurance providers benefit from fully understanding the Medicare chronic care improvement program.
Medicare chronic care improvement program works with some medicare medication sections.
The COVID-19 pandemic has impacted nearly every aspect of American life and medical debt is no exception. Health related debt has skyrocketed since the beginning of 2020.
Medical debt is piling up now more than ever as a result of the pandemic.
Almost since the day it was first passed, the Patient Protection and Affordable Care Act has been the subject of numerous legal challenges.
Supreme Court again rejects challenge to ACA
The Supreme Court case Texas v. California, which could ultimately determine the fate of the Patient Protection and Affordable Care Act, will not be officially decided until sometime in 2021.
Study shows how U.S. health system compares with other nations
The seemingly never-ending court cases related to the Patient Protection and Affordable Care Act continued unabated late into 2020.
Decision coming on Texas v. California ACA case
With tens of millions of workers across the country losing their jobs there are legitimate concerns at the highest levels of government about how health care reform may be able to address current issues.
Is this the right time for health care reform?
For millions of people across the U.S., the threat of the novel coronavirus relates to both their physical and financial health.
Lawmakers still mull whether to reopen exchanges amid pandemic
Over the past decade, there have been many legal challenges to the Patient Protection and Affordable Care Act, all of which have been struck down.
ACA's future hangs on delayed Supreme Court decision
The U.S. health care system is now a little more than a decade into the era of the Patient Protection and Affordable Care Act.
Study shows how U.S. health system compares with other nations
The ACA created a limit on how much companies could spend on administration and marketing, versus how much had to be put back into the insurance pool.
Health insurers to pay out billions in rebates
The conversation around the national health insurance and health care markets has become quite heated in recent years.
Recession could lead tens of millions to lose health insurance
At this point, just about every American - and certainly everyone in the health care and insurance sectors - has heard the talk about "Medicare for All."Â
Understanding 'Medicare for All'
For some time now, the question of how businesses - regardless of size - will continue to provide health insurance to their employees has been a critical issue.
rising healthcare costs
With so much attention being paid by both elected officials and the general public to the state of health care these days, it's little wonder people have plenty of strong opinions about the issue.
Health care costs likely to keep climbing
In recent months, there has been a lot of talk about the efficacy of various approaches to health care reform, and at the top of the list for a number of individual states is the use of a public health insurance option.
What options do people have when they lose health insurance?
Lawmakers at both the state and federal levels have been trying to find ways to ensure more Americans are covered by health insurance.
How are children getting their health insurance?
The health care landscape in the U.S. has changed a lot in recent years and lawmakers continue to try fine-tuning various aspects of the issue.
Lawmakers Mulling Health Care Changes
One of the biggest issues in health care these days is that while there's an overarching federal law, many states choose to go above and beyond those rules, creating a regulatory patchwork.
What options do people have when they lose health insurance?
Attempts to significantly alter the health care landscape nationwide with a single, overarching bill ended up failing late last year, and only smaller changes were enacted as part of the new tax laws.
Commercial health insurance is an importance subcategory of insurance products.
Across the country, many state legislatures are now grappling with the how they can handle health care laws, given the changing landscape at the federal level.
Americans see ups and downs in health care
The ups and downs of the Republican attempts to repeal and replace the Patient Protection and Affordable Care Act over the last several months are well-documented.
Many issues reshaping national health insurance landscape
There are a lot of moving pieces when it comes to the national health care and insurance laws now being considered in the U.S. Senate.
Health care landscape continues to shift as end of 2017 approaches
In recent months, the ways in which national and state health care laws could change dramatically have dominated headlines.
Despite health insurance landscape uncertainty, consumers must prepare
The health insurance industry has been slowly adapting to the various ins and outs of the Patient Protection and Affordable Care Act over the last few years, with participation in the federal state and governments' coverage exchanges chief among them.
Health insurers say exchange participation too costly for them
For the last few years, millions of Americans have flocked to state- and federally- run health insurance exchange websites, and that number has been growing steadily at the start of each new year.
Health insurance coverage, costs continue to shift nationwide
The Patient Protection and Affordable Care Act's health insurance mandate has been in effect for years now, and brought low-cost coverage to millions of Americans who would have had trouble obtaining it before.
What options do people have when they lose health insurance?
Over the past few years, the federal government's website through which millions of Americans are expected to buy or renew their health insurance has come under major fire for a number of reasons.
Health insurers say exchange participation too costly for them
Millions of Americans have gotten health insurance - many for the first time ever - as a result of the Patient Protection and Affordable Care Act's coverage mandate and exchanges.
What happens if the ACA subsidies are struck down?
The reality of the Patient Protection and Affordable Care Act is that the large number of Americans who, for one reason or another, go without health insurance will face a tax penalty for doing so.
Officials seek federal relief on health insurance risk
The rollout of the Patient Protection and Affordable Care Act's various coverage mandates related to businesses has been rocky to say the least, and has consequently faced numerous delays.
Health insurance underwriting takes some special considerations.
One of the provisions of the Patient Protection and Affordable Care Act relates to how people are able to have their health insurance subsidized when it's purchased through government-run exchanges.
What happens if the ACA subsidies are struck down?
Last year, the initial rollout of the health insurance exchange website for individuals was pretty much considered a disaster by just about everyone, and the federal government is consequently taking steps to ensure the same thing doesn't happen with its small business marketplace.
Health insurance is one of the most important employee benefits.
It's getting to be that time of year, when the federal health insurance exchange websites have open enrollment for consumers to sign up for and change their health insurance coverage for the coming year.
States continue to grapple with changing health insurance market
The open enrollment period for the Healthcare.gov and associated health insurance exchange sites begins for 2015 and many experts have turned their attentions to the number of people who are expected to sign up for the sites this year.
Study shows how U.S. health system compares with other nations
The regulatory controls states have over insurers' ability to set premiums has been a major issue in various parts of the country over the last several months or more.
Several consumer protection and industry-strengthening laws are going into effect in California.
In 2015, small businesses with at least 50 full-time employees will be required to provide health insurance options to those workers, while companies with fewer employees will continue to be exempt.
Small Businesses Find Lower-Cost Health Coverage Via SHOP Exchanges
One of the most important aspects of the Patient Protection and Affordable Care Act was, as the name implies, designed to make sure more Americans had access to reasonably priced health insurance coverage going forward.
Uninsurance rate continues to decline nationwide
The ways in which insurance companies across the country are able to deal with health coverage has changed significantly in the last few years, and that's just on a national level.
States reviewing their health insurance laws under new environment
The Patient Protection and Affordable Care Act obviously brought with it sweeping changes for the health insurance industry, but at the same time, it also impacted the ways in which government agencies in that sector must operate.
California mulling options to limit health insurance rate increases
Across the country, the federal health insurance exchange website drew a lot of ire in the first several months of its operation. However, after a massive effort to overhaul its internal workings, it is now ready to handle expected traffic levels.
Oregon reverts back to federal exchange after state marketplace fails
The latest cost projections released by the Congressional Budget Office suggest that health insurance costs under the ACA may be cheaper than once expected.
Report: Obamacare cheaper than expected
Over the last few years the Patient Protection and Affordable Care Act has drawn considerable fire from its critics because of the ways in which it might not suit everyone's health care needs. As such the Obama administration has repeatedly made attempts to alter the law to be more flexible.
Obama administration allows people to stay on old plans longer
Across the country, it seems that many Americans who do not have health insurance are still unaware that they will have to have some amount of coverage before the end of March if they want to avoid a federal fine.
Health insurers say exchange participation too costly for them
The health insurance exchanges put into place by the Patient Protection and Affordable Care Act were intended in many ways to help consumers who do not have such coverage to obtain it for a relatively low cost.
Uninsurance rate continues to decline nationwide
The troubled initial rollout of the federal health insurance exchange site is now growing smaller in the rearview mirror as more consumers nationwide flock to the marketplaces to obtain their health coverage for the coming year.
Study shows how U.S. health system compares with other nations
Millions of Americans are eligible for health insurance on the federally-run exchanges, but the percent exploring their options continues to disappoint and is running lower than initial projections.
Health insurers say exchange participation too costly for them
In recent weeks, the White House has made a number of changes to the ways in which it requires consumers to sign up for health coverage through the Patient Protection and Affordable Care Act's mandated federal insurance exchanges, and yet another one came earlier this week as fears about more glitches for Healthcare.gov lingered.
Health insurers say exchange participation too costly for them
One of the biggest headline grabbing problems for the Patient Protection and Affordable Care Act in the past few weeks is the fact that millions of Americans have had their health insurance plans canceled because they did not meet certain requirements set forth by the law.
Medical debt is piling up now more than ever as a result of the pandemic.
The Affordable Care Act's coverage mandate is just months away from going into effect, and while most Americans are fully aware of what's required of them under the legislation, this is not necessarily the case with those lacking insurance.
Most Americans aware of ACA requirements, but uninsured still lagging
The Affordable Care Act is front of mind for many business owners and executives as the deadline for the coverage mandate approaches, but one provision of the law has been extremely beneficial to many young people.
Young people key to ACA success, but desire to enroll is in question
The Affordable Care Act is designed to help millions of Americans obtain health insurance coverage to which they might not have had access in the past. New research, though, shows that many of the nation's most economically disadvantaged people could be left in the lurch.
Final hours before enrollment deadline see surge
Many small business owners and others in charge of working out insurance needs may be trying to assess their paths forward once the coverage mandate of the Affordable Care Act takes effect on January 1, 2014. New research shows that millions of Americans nationwide will be able to receive federal help in paying for their own policies.
How will new health insurance tax affect small businesses' costs?
The Affordable Care Act's health insurance coverage mandate will likely be a major issue facing the majority of large businesses this year, but experts say that workers could likewise have significant issues they want addressed. New data shows that those workers want their companies to help them better understand their obligations.
What is the employer's role in educating workers on ACA requirements?
Experts have focused much of their attention on the requirements that apply to the individual and small group market. However, companies with more than fifty employees face large penalties if they do not offer "minimum value" coverage or require excessive employee premiums.
Study shows how U.S. health system compares with other nations
Mandates on medium- and large-sized businesses to offer health insurance to employees remains a hot topic not only among employers and health and anti-poverty advocates, but also some legislators. To curb the potential of facing penalties if coverage is not offered, some U.S. senators are taking action regarding this aspect of the Patient Protection and Affordable Care Act.
Most Americans aware of ACA requirements, but uninsured still lagging
The amount of money consumers across the country pay for their health insurance is likely to rise substantially after the final rules of the Affordable Care Act are put into place.
Public, private insurance organizations working to improve access