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AHIP 2018 discussion dominated by social determinants of health

AHIP 2018 discussion dominated by social determinants of health

By Shelby Livingston  |  June 22, 2018

AHIP's focus on issues like food, housing and transportation—factors experts say have a profound impact on a patient's health—showed insurers are beginning to pay attention to what happens outside of the hospital, even if returns are still hard to measure.

Oscar Health to sell Obamacare plans in 6 new markets next year

Oscar Health to sell Obamacare plans in 6 new markets next year

By Shelby Livingston  |  June 21, 2018

New York-based Oscar is bringing its narrow-network exchange plans to Florida, Arizona and Michigan, as well as new metro areas in three states where it already offers insurance, including Ohio, Tennessee and Texas.

Fraud fears rise as feds expand access to association health plans

Fraud fears rise as feds expand access to association health plans

By Harris Meyer  |  June 20, 2018

Regulators and insurance experts worry the Trump administration's new rule expanding association health plans will spark a surge of insurance fraud and insolvencies that plagued consumers and healthcare providers in the past.

Texas Blues insurer delays new ER payment policy

Texas Blues insurer delays new ER payment policy

By Shelby Livingston  |  June 01, 2018

The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.

CMS rejects Ohio's individual mandate waiver

CMS rejects Ohio's individual mandate waiver

By Virgil Dickson  |  May 18, 2018

The CMS has denied Ohio's request to become the first state to waive the individual mandate for health insurance coverage. Federal officials said the request did not meet guidelines to ensure that no one would lose benefits.

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