In the 70 years since employer-sponsored insurance benefits have been exempt from taxes, the revenue lost to the federal government has run in the trillions of dollars. Now, with a federal tax code rewrite possible and another looming budget battle, the Congressional Budget Office wants lawmakers to rethink that so-called tax expenditure.
In one of the strangest Medicaid fraud cases in recent history, the Justice Department is charging several Russian diplomats and their families with illegally accessing Medicaid-covered prenatal and pediatric care in New York City.
Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
Charley Rich, Vice President, Product Management and Marketing, Nastel Technologies
While the word "healthcare" can be heard everywhere these days, how exactly do healthcare organizations achieve their goals of improving patient care and ensuring profitability? One of the most important ways a healthcare organization can accomplish these goals is to focus on ensuring claims are filed expediently and accurately while still ensuring patient privacy.
President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.
About 100,000 Iowans newly eligible for Medicaid are set to get private insurance coverage through a demonstration project approved by the federal government, the second Medicaid "private option" okayed this year.
Insurers who may get hit with losses as a result of continuing previously cancelled plans may get some financial assistance from the federal government. But eligible insurers won't see that relief until 2015.
Less than 30 percent of uninsured millennials queried in a new Harvard poll are planning to buy coverage in public exchanges, and a majority disapprove of the Affordable Care Act as a whole — suggesting sustainability problems in the first year of the HIXs.
America's medical cost inflation appears on track to fall even below 2013's trends, according to PricewaterhouseCoopers, although consumers are still bearing large cost burdens and other trends threaten the slowdown.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Authorized by the Affordable Care Act, and starting in 2014, individuals and employees of small businesses will have access to affordable coverage through a new competitive private health insurance market -- the Health Insurance Marketplace (formerly known as Healthcare Insurance Exchanges). The state-based marketplace will provide individuals and small businesses with a "one-stop shop" to find and compare affordable, quality private health insurance options.