Health Care Reform In the Supreme Court
Today starts the first day of the debate on health care reform. It will be very interesting to see how the supreme court rules in the next 3 days. Fox News reported on what a fine line the administration’s argument is on. Not having health insurance cause to get a penalty or a tax? The administration’s attorney had […]
State Based Exchange Final Rule
The department of Health and Human Services has release a 644 page document on the rules for a state based exchange. This document is going to have a huge impact on health insurance and health care. At this point no one really has an idea of how a state based exchange is going to look […]
Health Insurance under the Health Care Reform
The department of health and Human Services released guidance on two key components that will affect the level of protection a private insurance policy will provide under health care reform. 1st Involves the services the insurance policy must cover 2nd Involves how much the insured must pay for out of pocket services. The services that […]
Federal High Risk Pool
The current administration reported the federal High-Risk medical plan, is expected to more than double the initial predictions of the Obama administration. The Health Care law set aside $5 billion for the Pre-Existing Condition Insurance Plan (pcip.gov) plan. If you were denied coverage in the individual market and had been without coverage for 6 months you were […]
Some Positive News on ACO’s
My News Businessweek.com Reported a positive view of the Accountable Care Organization (ACO) The ACO is one of the main programs to reduce health care cost in the new health care law. This is really the 1st publication that states this type of approach to health care can be successful. The Gov. is developing this […]
Indiana Insurance Commissioner Seek Waiver
The Indianapolis insurance Commissioner is asking for a waiver of Patient Protection and Affordable Care Act’s (ACA) 80 percent minimum medical loss ratio (MLR). The commissioner states that 10% of the health insurance companies have left Indianapolis. If the waiver is granted that would encourage companies to stay in the individual health market. The commission […]
Pressure on McKinsey Study
The Hill Chairman Max Baucus is not happy about the Mickinsey study that state 30% of employers will drop their group health plans after 2014. Chairman Baucus has order a full disclosure on the methodology of the study. It will be interesting to see what methodology was used. Being a health insurance broker with extensive […]
Indiana Vaccinations for Insured Children
IndyStar.com publish a story on children with insurance will not be able to get vaccinations for the Indianapolis department of health. From a coverage standpoint, all health insurance plans have to cover vaccinations at no cost to the insured. So should your child need $600 worth of immunizations it will cost you nothing. This was one […]
Accountable Care Organizations
Accountable care organization “refers to a group of providers and suppliers of services (e.g., hospitals, physicians, and others involved in patient care) that will work together to coordinate care for the patients they serve with Original Medicare (that is, those who are not in a Medicare Advantage private plan). The goal of an ACO is to […]
$6.8 Million Awarded To Indiana
IHIE Indianapolis has been awarded $6.8 Million from the Federal Government to Implement the key provision of the Affordable Health Care Act- Health Insurance Exchange. And received a $1 million grant to look into setting up a state based exchange. So the $6.8 million must be an indicator that the DOI is going to move forward […]
