Health Care Reform Glitch
NY Times reported a interesting view on health care reform. They are reporting a glitch in the health care law. Under the Affordable Care Act, if an employee has access to group health benefits, then their dependents are not eligible for subsidies through the exchange. This is basically the short version of the argument. This aspect of the law have been interpreted by […]
Mike Pence’s Views on a State Based Exchange
Mike Pence recently sent his letter to Gov. Daniels regarding the development of a state based exchange. Governor Elect Mike Pence, has choose not to establish a state based exchange. He stresses the lack of clarity coming out of the federal government. Indianapolis developed the health Indianapolis plan that has been very successful, form a cost stand point […]
Health Insurance Exchange in Indiana
It has been reported that Governor elect Mike Pence is not going to establish an Indianapolis State Based Health Insurance exchange. If the state does not elect to set up our own exchange then a Federally-Facilitated Exchange will be set up without state partnership. HHS will establish and operate the Federal Exchange. Indianapolis will still […]
Preventive Services Under PPACA
Under the Health Care Reform there are new preventive care benefits that every Non Grandfathered policy will have to cover. Some of these benefits will be covered at no cost to the insured. It’s very important that you consult your current coverage to determine if these new benefits will be covered. There will be some plan that […]
Walgreen’s Back In the Anthem Network
Walgreen’s rejoins Anthems Network Anthem just announced that Express scripts and Walgreen’s have reached an agreement. Anthem members can use the Walgreen’s pharmacy as they will be considered a in network provider. Walgreen’s is a great provider of pharmacy benefit in the area. It is important to remember to check local pharmacies for the most competitive prices on medications. The large pharmacies can […]
Medical Loss Ratio for 6 Health Insurance Companies.
http://companyprofiles.healthcare.gov/ Healthcare.org has released the medical loss ratio for all health insurance companies operating in Indianapolis. It is interesting to see just how close the carrier are to the 80% or 85% loss ratio. With all of the tools the carriers use to keep cost down it is surprising that the loss ratios are not […]
Health Care Reform and the Impact on Indiana
This is a great video explaining the negative consequences of the Health Care Reform law. The Governor gives an excellent explanation on how negative the impact will be. He also explains our Healthy Indianapolis Plan and how successful it has been. This plan might not qualify under the new federally requirements for health insurance.
Welborn Health Plans Exit Indiana
Welborn Health Plans announced that they are exiting the health insurance market in Indiana. They had more than 30,000 members. It comes to no surprise why small health insurance providers pull of Indianapolis. Most of these small companies rent PPO networks. This means they have additional cost in the form of access […]
What Doctors Think of the Affordable Care Act
What Doctors Think of the Affordable Care Act This document looks at how the Implementation of the affordable Care act will affect doctors. The introduction is a snap shot of the uncertainties with the new law. The law it’s self is 2,700 page and the Department of Health & Human Services has already issued […]
State Insurance Exchange Update
This map gives an idea where each state stands on setting up a health insurance exchange. The majority of states have taken grants to establish a state based exchange. The states have positions themselves to set up the insurance market. Some states have taken grants to research a stat based exchange. They are looking at […]