Capstone Insights
Amid intense debates about the Graham-Cassidy health care bill, the Senate and House missed the deadline to reauthorize the Children’s Health Insurance Program (CHIP) — meaning federal funding for the program will expire at the end of the month. Continue reading →
After the collapse of Senate Republicans’ latest attempt to repeal Obamacare, Senator Lamar Alexander says he’s going to try again at a smaller, bipartisan bill to stabilize insurance markets in 2018 and 2019. Continue reading →
In the first half of 2017, more than 91.3% of all utilization review physicians’ modifications or denials of treatment that were reviewed by an independent medical review doctor in California were upheld, a study released Thursday by the Oakland-based California Workers’ Compensation Institute revealed. Continue reading →
The chairman of the Senate health committee said Wednesday that he hoped the panel would reach a consensus by the end of next week on a small, bipartisan bill to stabilize health insurance markets and prevent prices from skyrocketing next year under the Affordable Care Act. Continue reading →
The basic structure of the American health care system, in which most people have private insurance through their jobs, might seem historically inevitable, consistent with the capitalistic, individualist ethos of the nation. Continue reading →
We just received an e-mail that Health Plan of Nevada & Sierra Health and Life has begun mailing Medical Loss Ratio (MLR) rebate checks to their small group health insurance plan sponsors. The notice indicated they would be mailing checks out over the next few weeks along with all the other health insurers. These checks are for calendar year 2016 and are required to be completed by September 30th. Continue reading →
Last month, a White House panel declared the nation’s epidemic of opioid abuse and deaths “a national public health emergency,” a designation usually assigned to natural disasters. Continue reading →
The Reflections treatment center looked like just the place for Michelle Holley’s youngest daughter to kick heroin. Instead, as with dozens of other Florida substance abuse treatment facilities, the owner was more interested in defrauding insurance companies by keeping addicts hooked, her family says. Continue reading →
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