Latest News On Insurers

Latest California Healthline Stories

Court Ruling May Spur Competitive Health Plans to Bring Back Copays for Preventive Services

The Affordable Care Act required that health insurers provide many medical screenings and prevention services at no out-of-pocket cost to health plan members. But insurers and employers may consider adding cost sharing for preventive services now that a federal court ruled the ACA’s mandate is unconstitutional.

Medical Coding Creates Barriers to Care for Transgender Patients

The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.

Ad Targeting Manchin and AARP Mischaracterizes Medicare Drug-Price Negotiations

The advocacy group American Commitment said empowering Medicare to negotiate drug prices would raid it of billions of dollars. Drug pricing experts say that that’s not the case and that such policies would instead reduce costs for the Medicare program and seniors.

Computer Glitches and Human Error Still Causing Insurance Headaches for Californians

Covered California and Medi-Cal share a computer system for eligibility and enrollment. Nearly a decade since the Affordable Care Act expanded coverage options in the state, enrollees can be diverted to the wrong program — or dropped altogether — if erroneous information gets into the system.

Fallas informáticas y errores humanos en la cobertura de seguros siguen siendo un dolor de cabeza para los californianos

Es cierto que pequeños cambios en los ingresos pueden hacer que la elegibilidad cambie, pero si se ingresa información incorrecta en un sistema informático compartido por Covered California y Medi-Cal, o se elimina información precisa, eso les puede causar grandes dolores de cabeza a los afiliados.