health insurance

Despite a consensus that patients should be able to get mental health care from primary care doctors, insurance policies and financial incentives may not support that.

Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.

Many companies have dropped commissions during the Biden administration's special enrollment period. The industry’s trade group says that people who sign up outside the end-of-the-year window tend to be sicker, driving up the price of insurance.

The enrollment period started in March and is open to anyone making 150% of the federal poverty level or less.

The No Surprises Act offers protection from many surprise bills, but that protection may be only as good as a patient’s knowledge of the law and ability to make sure it’s enforced. Here’s what you need to know.

Employers are increasingly using the Advantage program as an alternative to existing retiree plan and traditional Medicare. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.

Small pharmacies have long complained about benefit managers, which represent health insurers in negotiations with drug companies and pharmacies

After the COVID public health emergency ends, funding and continuous coverage requirements go away. A report says Florida's insurance programs for low-income families have more barriers to enrollment than other states.

Jodi Ray of Florida Covering Kids & Families says one reason for the jump may be the Biden administration’s push for more resources toward marketing and outreach, particularly through the American Rescue Plan.

Subsidies from the president's coronavirus relief act and an extended enrollment period helped add 600,000 Floridians through the federal marketplace.

Some consumers "have gone months" without realizing someone had improperly enrolled them in ACA plans, with tax credits that may need repaying. A proposed rule would stop the practice.

Led by nearly 2.6 million in Florida, 13.6 million Americans have enrolled for next year . A boost in subsidies marketing and assistance in navigating the process helped increased the rolls of the insured.