Latest California Healthline Stories
The company’s drug spending prediction, far above other insurers in the individual market, has experts scratching their heads. Anthem cites market volatility.
Insurers can reduce benefits or change cost sharing, but they are generally supposed to tell enrollees about the change beforehand. And although plans must tell patients when they are denied coverage, sometimes treatment is affected for other reasons.
Making needed fixes to Obamacare before next year may be more difficult — and expensive — than Senate leaders think, state insurance commissioners suggested at a Senate hearing Wednesday.
California has adopted many strong consumer regulations, but they don’t protect the nearly 6 million state residents with a specific type of job-based coverage.
It’s the second fine this year for California’s largest health plan, the only one to be penalized by Medi-Cal officials since at least 2000. The HMO says it will hand the information over by next month.
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Margot Sanger-Katz of The New York Times discuss the continuing efforts in Congress to “repeal and replace” the Affordable Care Act, upcoming open enrollment for individual insurance and Congress’ long health care to-do list for September.
When Anthem Blue Cross pulls out of the individual market next year, about 60,000 Covered California enrollees, plus others who buy insurance outside of the exchange, will have only one health plan in their areas.
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Sarah Kliff of Vox.com and Margot Sanger-Katz of The New York Times discuss the state of the individual health insurance markets and the challenging decisions facing many insurers in the wake of the failure (for now) of Congress’ efforts to repeal and replace the Affordable Care Act.
Little-known rules require all health insurance companies to help pay claims when any one of them fails. Penn Treaty failed big — and insurers around the country are likely to pass on those costs to policyholders. California consumers may be hit hardest.
California Healthline senior correspondent Emily Bazar dissects recent developments on KCRW and Capital Public Radio.