ERIKSEN GROUP
phone
x x x
 

Blog

Posts Tagged ‘Evanston’

Bills would allow Uber, Lyft to provide non-emergency transport for Medicaid patients

Monday, April 15th, 2019

Watchdog.org reports:

“They aren’t offering Uberlances or AmbuLyfts, but Uber and Lyft are among ride-sharing apps that are offering Florida lawmakers potential savings in costs if they are permitted to provide Medicaid patients with non-emergency medical transportation services.

(more…)

How your health care would change under “Medicare for All”

Monday, April 15th, 2019

Axios reports:

“Bernie Sanders’ “Medicare for All” push has upended Democratic politics almost as thoroughly as it would upend the health care system.

(more…)

Blue Cross Blue Shield Confirms Obamacare Death Spiral

Thursday, April 28th, 2016

According to The Beacon:

” The Blue Cross and Blue Shield Association, which represents 36 Blue Cross and Blue Shield plans covering 105 million Americans, has just released a study of its members’ claims data in Obamacare exchanges 2014 and 2015. It confirms that Obamacare exchange enrollees are sicker and more expensive than enrollees in pre-Obamacare individual plans or employer-based plans.

Here I quote four of the study’s findings:

  • Members who newly enrolled in BCBS individual health plans in 2014 and 2015 have higher rates of certain diseases such as hypertension, diabetes, depression, coronary artery disease, human immunodeficiency virus (HIV) and Hepatitis C than individuals who had BCBS individual coverage prior to health-care reform.
  • Consumers who newly enrolled in BCBS individual health plans in 2014 and 2015 received significantly more medical care, on average, than those with BCBS individual plans prior to 2014 who maintained BCBS individual health coverage into 2015, as well as those with BCBS employer-based group health insurance.

(more…)

Illinois Obamacare plan crippled by losses

Thursday, April 21st, 2016

According to Crain’s Chicago Business 

” The operating losses continue to mount at struggling Land of Lincoln Health, totaling $90.8 million for the Obamacare health plan in 2015.

That net loss is almost five times greater than the Chicago-based startup reported in 2014, when it totaled $17.7 million. The insurer lost about $40 million in just the last three months of 2015, according to a new financial statement filed with national insurance regulators.

Jason Montrie, Land of Lincoln president and interim CEO, did not immediately respond to a message seeking comment.

Kevin Scanlan, chairman of the insurer’s board of directors, said in a statement: “Land of Lincoln Health, like other insurers across the market, continues to adjust its business model as we learn how to best adapt to the new marketplace. . . .The board is confident in its long-term viability and will continue to evaluate and invest in the needs of our members.”

(more…)

From Aetna Health Reform Weekly

Friday, February 27th, 2015

ILLINOIS: The legislature is set to begin debating several measures that would mandate coverage of certain benefits or access to certain providers. H.B. 120 and H.B. 122 would require coverage of intravenous feedings and prescription nutritional supplements. S.B. 97 would require coverage for hearing instruments and related services for individuals with a prescription. S.B. 802 would prohibit health insurers from mandating an optometrist to meet conditions not required of other eye care providers as a condition for participation in the health care plan, or from reimbursing the optometrist at a lower rate than other licensed providers.

The IRS announced last week that small businesses with fewer than 50 employees will have until July to end arrangements allowing workers to receive tax-free payments to buy coverage on the individual market. Violations could result in large tax penalties. This news follows last year’s announcement that employers who continued offering HRAs without also offering ACA-compliant health insurance would face a fine of up to $100 per day, per employee.

Turning 21? Here’s How To Avoid A Big Hike In Health Insurance Premiums

Wednesday, December 17th, 2014

Kaiser Health News reports:

“For young people, turning 21 is generally a reason to celebrate reaching adulthood. If they’re insured through the federal health insurance marketplace that operates in about three dozen states, however, their birthday could mean a whopping 58 percent jump in their health insurance premium in 2015, according to an analysis by researchers at the Center on Budget and Policy Priorities.

The reason: They’re no longer considered children under the age-rating rules insurers use to set premiums.

(more…)

Small businesses helping workers buy health plans

Friday, October 17th, 2014

San Jose Mercury News reports:

“When Monty Hagler learned his employee insurance premiums could rise as much as 38 percent, the small business owner decided he couldn’t afford coverage that complies with the health care overhaul.

He considered a variety of plans from different carriers, but they were too expensive or bare-bones.

“Unless we dramatically changed our plan and went with the most basic plan, I said, ‘this is not sustainable,'” says Hagler, owner of RLF Communications, a Greensboro, North Carolina-based marketing company.

(more…)

Employer-paid Individual Health Plans

Wednesday, September 3rd, 2014

Flexible Benefit reports:

“The IRS and other agencies have issued three different sets of guidance making it clear that employers cannot give actively employed workers pre-tax dollars through a Health Reimbursement Arrangement (HRA) ,or any other type of arrangement, to purchase individual coverage on their own. Employers using this model will be subject to fines of up to $100 per employee per day.

(more…)

Quinn aide: Court rulings don’t jeopardize federal health-care subsidies

Wednesday, July 30th, 2014

The State Journal-Register reports:

“Conflicting federal court rulings Tuesday pose no immediate financial threat for the 168,000 Illinoisans receiving reduced-price health insurance through the federal Affordable Care Act, an aide to Gov. Pat Quinn says.
The legality of the subsidies in states such as Illinois, which doesn’t operate its own health insurance “exchange,” was called into question by one of the rulings.

(more…)

To Prevent Surprise Bills, New Health Law Rules Could Widen Insurer Networks

Wednesday, July 30th, 2014

The New York Times reports:

“The Obama administration and state insurance regulators are developing stricter standards to address the concerns of consumers who say that many health plans under the Affordable Care Act have unduly limited their choices of doctors and hospitals, leaving them with unexpected medical bills.

Federal officials said the new standards would be similar to those used by the government to determine whether Medicare Advantage plans had enough doctors and hospitals in their networks. These private plans, sold by companies like UnitedHealth and Humana, provide comprehensive care to 16 million of the 54 million Medicare beneficiaries.

(more…)

Newsletter Signup

Free Consultation
image_questions
Change Your Broker
 
x x x