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Reforming Health Insurance

Healthcare IT Today

Nobody really knows or cares what health care costs, because they aren’t paying. He further asserts that on average, only 53% of your health insurance premiums get returned to you as benefits. However, the ACA states “…an insurance company must assign 80% of their premiums to activities that develop the healthcare sector.”

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Trends shaping the business of health insurance in 2024

Healthcare Dive

The uninsured rate will rise. Medicare Advantage enrollment will swell, with fewer sweeping regulatory changes. Major pharmacy benefit managers will launch more transparent products. Here’s what experts see coming down the pike for 2024.

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Biggest takeaways from health insurers’ third-quarter earnings

Healthcare Dive

Many payers beat Wall Street expectations in the quarter, despite ongoing utilization concerns. Other hot topics? Medicare Advantage stars, Medicaid redeterminations, individual exchange growth and GLP-1s.

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Rising health insurance premiums linked to wage stagnation, study finds

Healthcare Dive

Families with employer-sponsored plans missed out on an average of more than $125,000 in earnings over more than three decades as premiums increased, according to a study published in JAMA Network Open.

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Health Insurers are Ignoring Price Transparency Rules at the Expense of Private Practice

HealthIT Answers

By Nathaniel Arana - Since January 1, 2023, The Transparency in Coverage Rule required health insurance providers and health insurers to provide price information to participants in a publicly accessible place. This means consumers should, in theory, be able to to go to any payer’s website and see.

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U.S. Health Insurance Coverage and Financing

Center for Health Insurance Reform

Health Insurance Coverage and Financing appeared first on Center on Health Insurance Reforms. Health Insurance Coverage and Financing appeared first on Center on Health Insurance Reforms. Continue reading → The post U.S.

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Health insurers ignore surprise billing decisions, providers allege

Healthcare Dive

Payers didn’t reimburse doctors in more than half of arbitration award cases, according to a survey from clinician group Americans for Fair Health Care.