Under one administration suggestion, TPAs could fund the coverage through rebates they receive from drug manufacturers that the TPA is not contractually liable to forward to the affiliates.Read More
Among other things, exchanges will have to provide a notice to employers that identifies by name the employees who have applied for and have been determined by exchange administrators as eligible for premium subsidies.Read More
Large employers at the annual National Business Group on Health conference held last week grappled with uncertainty around health care, but one thing was clear: Employees will be asked to do more to keep costs down by staying healthy and becoming savvier consumers. Read More
The Supreme Court is expected to rule by June on whether the individual mandate is constitutional. And if not, can it be severed from the rest of the Patient Protection and Affordable Care Act?Read More
The plans are attractive because they typically have low premiums—sometimes just $10 per month. But coverage limits can be as low as $1,000 annually, and some plans pay for just four doctor's visits per year.
The Massachusetts Division of Health Care Finance & Policy published cost figures of procedues last year, part of a blitzkrieg of data that officials have released as they strive to better understand what's driving the state's high health costs.Read More
With national health care reform looming, Workforce Management examines Massachusetts' reforms, which went into effect in 2006. Five-plus years later, we found that almost all Bay Staters now have health insurance, but overloaded physicians aren't necessarily taking on new patients and some employees are realizing that their favorite providers might be too pricey.Read More
More consumers in limited networks seem to be comfortable leaving a favorite doctor or hospital.Read More
If approved, Oklahoma would become the second state to adopt an alternative workers comp system. Texas has operated a similar opt-out system since 1913.
Back injuries reportedly comprised 26.3 percent of workers' comp payments in California between 2001 and 2011—the highest percentage of any injury type. Read More