Policy and Legislation

May 26, 2015 | Anthony Brino

As California goes, so goes the country in capping consumer costs for medicines? That's what patient advocacy groups and and some pharmaceutical companies may be hoping.

May 22, 2015 | Tom Sullivan

As dry as the decision may appear, insurers literally have millions of dollars on the line when CMS comes knocking. That makes picking the right auditor, and doing so the first time, absolutely critical.

May 21, 2015 | Anthony Brino

The chief lobbyist for American health insurance is taking a job at a regional nonprofit insurer, after shaping a once-in-a-generation reform aimed at benefiting both the public and the industry.

May 20, 2015 | Anthony Brino

Aetna has found itself in the odd position of being fined for covering something some members wanted, while not being fully up to speed covering another condition.

May 18, 2015 | Anthony Brino

Health insurers in one large West Coast state now have to disclose claims data that for decades was proprietary, in a reluctant but heralded move towards transparency.

May 15, 2015 | Michelle Andrews, Kaiser Health News

The federal government clarified that insurers can’t charge people for anesthesia administered during a preventive colonoscopy to screen for colorectal cancer, although there are unresolved questions.

May 12, 2015 | Anthony Brino

From the depths of the Internal Revenue Services comes an attempt to clarify some ambiguities for the uniquely taxed Blue Cross Blue Shield insurers and their medical cost ratios.

May 12, 2015 | Phil Galewitz, Kaiser Health News

When it comes to comprehensive contraception options as a preventive health benefit, free means free, regulators reminded the insurance industry.

April 17, 2015 | Anthony Brino

What constitutes reasonable limitations and management of contraception as an essential preventive health benefit? In the wake of new data and some consumer complaints, HHS may try to resolve gray areas.

April 10, 2015 | Lisa Gillespie, Kaiser Health News

As consumers increasingly are being asked to pay a larger share of their health bills, a coalition of insurers, pharmaceutical companies and provider and consumer advocacy groups launched a new push for greater transparency about the actual costs of services.

April 3, 2015 | Anthony Brino

A lot of health insurers still have many miles to go on the road to parity for consumers seeking mental health and substance abuse treatment, patient advocates maintain.

April 2, 2015 | Anthony Brino

Pennsylvania's largest insurer and newest integrated delivery network operator took a financial loss for the second year in a row, but that may actually help if scrutiny of its nonprofit status continues.

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