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 […]
Indiana’s New Governor’s Impact on Health Insurance
The next Governor of Indianapolis is going to have a huge impact on health insurance in the state. The first decision the Governor will have to make is on the Essential Benefits. It is the responsibility of each state to form the Essential Benefits. The essential benefits are a set of health care service categories […]
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 […]
Women’s Preventive Care Services Under PPACA
Wellness Video Above is a video that address some of the new changes for women’s preventive services covered under the new health care law. In the past there has been coverage for these procedures but it was at a shared cost to the insured. Under PPAC these coverage are now covered at 100% with no […]
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 […]
4 Questions For Large Group Health Insurance Rebate Checks.
Did you recieve a rebate check from your group health insurance company? This check was sent to you by the health insurance company in accordance with the Patient Protection and Affordable Care Act (PPACA), also referred to as health care reform. What is this rebate for? As part of the 2010 Health Care Reform legislation, insurers are required to issue rebates […]
Medical Loss Ratio for Health Insurance
Rebate checks are starting to be delivered to both group and Individuals. The rebate check is a direct results of the Affordable Car Act. Medical Loss Ratio Information‐‐The Affordable Care Act requires health insurers in the individual and small group markets to spend at least 80 percent of the premiums they receive on health care […]
3 Accountable Care Organizations for Indiana
An accountable care organization (ACO) is a type of payment and delivery reform model that seeks to tie provider reimbursements to quality of care. This health care delivery model is very different from our current fee for service. The ACO is the one aspect of the Patient Protection and Affordable Care Act that could reduce medical cost. There […]
