You may or may not have heard about the controversy surrounding Zane Benefits, a company that has won over many small businesses by promising them that they can cancel their group health insurance plan and still offer their employees a health benefit. Zane sells software that helps small businesses reimburse workers – with tax-free dollars! – when … Read more
The U.S. Department of Health and Human Services (HHS) made the Patient Protection and Affordable Care Act (PPACA) basic preventive services package famous by putting a controversial mandate — for “free” birth control benefits — in the package. Consumer groups say patients are having trouble using the other, less controversial benefits in the package, such as access to … Read more
The U.S. Department of Health and Human Services (HHS) is renewing the paperwork clearance it and states need to set up a new type of health plan aimed at the working poor. At least one state — Minnesota — has posted a draft blue print for a Patient Protection and Affordable Care Act (PPACA) Basic Health … Read more
The Finns do it. The Germans do it. Even the Portuguese and Greeks do it. Across most of the developed world, single-payer, universally available health care is the norm. Legislators briefly considered single-payer coverage in the United States during the health care debates, but ultimately settled on the hybrid public/private solution that is the Patient … Read more
Medicare Advantage (formerly known as Medicare+Choice) permits contracts between the Centers for Medicare & Medicaid Services (CMS) and a variety of different private managed care and fee-for-service entities. Most Medicare beneficiaries may choose to receive benefits either through the original Medicare fee-for-service program (Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance)). Main types … Read more
Year two of Obamacare “won’t be perfect,” a top Obama administration official said as the government’s website to sell health insurance plans continues to be developed. Andy Slavitt, the principal deputy administrator of the Centers for Medicare and Medicaid Services, would not promise that the site, healthcare.gov, will be “fully ready” in November, when people … Read more
It’s rare to read an industry magazine or attend an industry conference without the topic of mergers and acquisitions coming up. The issues addressed typically include the cost of acquisitions, tax implications, systems matters, when a consultant is needed and when the parties involved should be able to handle the transaction on their own. While … Read more
Most independent insurance agents stick with their top personal lines and commercial lines companies for years, although they are less-than-satisfied in a number of carrier-performance areas. This is among the many findings in a new national survey of agents conducted by Channel Harvest Research. The national survey of agents on their attitudes regarding carriers — … Read more
The heavily criticized Medicare two-midnights rule involving short inpatient stays has technically been in effect for the past year. But providers, regulators and healthcare observers are not sure the rule will hold up in its current makeshift form.The two-midnights rule entered the healthcare vernacular last year after it was finalized in Medicare’s fiscal 2014 inpatient rule. But … Read more
Medicare benefits generally become available at the beginning of the month in which an individual reaches age 65. An individual whose birthday falls on the first day of a month is treated as having reached age 65 on the last day of the month immediately preceding his or her birthday. Assuming an individual is otherwise eligible … Read more
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