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Challenges to the Reliability of the Ingenix Databases
For a number of years, alert consumers and health care providers sensed that the usual and customary cost estimates insurers were using to pay out-of-network claims were lower than market rates. But because insurers refused to explain how th... -
Ingenix's Close Ties with the Health Insurance Industry
In the private health insurance industry, Ingenix has been the predominant source of information about the market price of medical services. While the industry has long represented the usual and customary estimates of medical charges compil... -
"Usual and Customary" Rates in the Health Insurance Industry
Most Americans covered by private sector health insurance participate in plans that encourage them to use health care providers within their insurance carriers network, but that also allow them to see an out-of-network provider if they choo... -
How can I protect my health insurance benefits?
If you are losing your health insurance due to job loss or reduced hours, there are some important steps you should take. Women and their dependent children who lose their health insurance through divorce or death also are entitled to the fo... -
What happens if you have health insurance through your employer and you leave your job?
If you leave a job where you have had employer-sponsored health insurance, you will want to ensure that you have continued protection against the high costs of health care. Whether you leave the job on your own or you are forced to leave, t... -
Are there other types of health-related coverage? - Questions About Health Insurance
Other types of health-related coverage include long-term care insurance, disability insurance, and supplemental insurance. Long-Term Care Insurance The purpose of long-term care is to provide the help you need to perform activities of daily... -
How does Medicare coverage work? - Questions About Health Insurance
Medicare is the Federal health insurance program for Americans age 65 and older, some disabled Americans, and individuals who have end-stage renal disease (ESRD). The Original Medicare Plan, which is available nationwide, is a fee-for-servi... -
What is consumer-directed coverage? - Questions About Health Insurance
Consumer-directed health plans allow individuals and families to have greater control over their health care, including when and how they access care, what types of care they receive, and how much they spend on health care services. The maj... -
Which type of health insurance is right for you?- Questions About Health Insurance
Whether you are eligible for group insurance or choosing an individual plan, you should carefully compare costs and coverage. Be sure to compare: 1. Premiums. 2. Coverage/benefits. 3. Access to doctors, hospitals, and other providers. 4. Ac... -
How do you get health insurance? - Questions About Health Insurance
Most people get health insurance through their employers or organizations to which they belong. This is called group insurance. Some people do not have access to group insurance. They may choose to purchase their own individual health insur... -
Why do you need health insurance? - Questions About Health Insurance
As medical care advances and treatments increase, health care costs also increase. The purpose of health insurance is to help you pay for care. It protects you and your family financially in the event of an unexpected serious illness or inj... -
Can a Public Insurance Plan Increase Competition and Lower the Costs of Health Reform?
Senator Barack Obama has proposed having a public plan available to those seeking coverage in a purchasing arrangement, such as the Federal Employees Health Benefits Plan. Senators Hillary Clinton and John Edwards had similar proposals. In t... -
America's Health Insurance Plans' Statement On National Committee For Quality Assurance's State Of He
America's Health Insurance Plans issued the following statement about a new report issued by the National Committee for Quality Assurance: No segment within health care is more committed to quality and quality improvement than the community... -
Senate Democrats Mull State 'Opt Out' Public Health Option as Compromise
Senate Democrats focused Thursday on a potential compromise on a government-run public'' health insurance option that would create a national plan but let states opt out if they chose. The compromise, designed to resolve one of the most con... -
RLI to Extend Its Non-Profit Healthcare Liability Coverage
RLI Corp. has announced a new non-profit healthcare organization and executive liability policy, which will include expanded coverage and simplified policy language. Our contract will be shorter - more concise - which should alleviate a maj... -
Harris County Healthcare Alliance to Provide Affordable Healthcare to Uninsured Small Business Employ
The Harris County Healthcare Alliance, together with UnitedHealthcare and Community Health Choice, has launched the TexHealth Harris County 3-Share Plan, designed to offer affordable health benefits for uninsured employees of small business... -
Hatch, Kennedy two of America's Best Leaders, says U.S. News
U.S. News World Report has named Utah Sen. Orrin Hatch and his late friend Sen. Ted Kennedy, of Massachusetts, as two of America's Best Leaders for their willingness to work across the partisan divide on key pieces of legislation. They join... -
Minnesota Governor Proposes Interstate Health Compact
Minnesota Gov. Tim Pawlenty is pitching the idea of a 50-state health insurance compact in a letter to his fellow governors. Pawlenty said such an entity would be modeled after the Interstate Insurance Product Regulation Commission. The pro... -
Health Care Groups Lobby At Record Pace; $130M Spent On Television Ads This Year
WASHINGTON -- The drug and insurance industries have dramatically amped up their efforts to lobby Congress, spending millions over a three-month period to influence legislation aimed at reshaping the nation's health care system, new reports... -
RLI to Expand Healthcare Liability Coverage
Illinois-based RLI announced a new non-profit healthcare organization and executive liability policy, which will include expanded coverage and simplified policy language. Our contract will be shorter more concise � which should alleviate...
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Tap Retirement Funds Penalty-Fr
Copyright 2009 Investor's Business Daily, Inc.All Rights Reserved Investor's Business Daily June 1, 2009... -
Getting Older, but working long
Copyright: The News-Sentinel, Fort Wayne, Ind. Source: News-Sentinel, The (Fort Wayne, IN) Wordcount:... -
Health Plans awaiting verdict i
(BestWire Services Via Acquire Media NewsEdge) Health plans expect to hear a final decision on 6 April... -
High-Deductible Health Plans Of
Study finds that high-deductible health plans are increasingly used by healthy people who are unlikely... -
Milliman Survey Says Dominate V
Copyright: PR Newswire Source: PR Newswire Wordcount: 753 SEATTLE, March 31 / PRNewswire / - Milliman... -
Aetna’s CEO Williams Tops Ind
HARTFORD, Conn.--(BUSINESS WIRE)-- Aetna's (NYSE: AET) Chairman and Chief Executive Officer Ronald A.... -
Investment Fund Files Suit MBIA
The Delaware Chancery Court is requested to cancel an agreement facilitated by the New York State Insurance... -
UnitedHealth Lands $21.8B Milit
UnitedHealth Group revenue from government programs is about to get much bigger. The Minnetonka health... -
Much to consider about COBRA su
THERE ARE SEVERAL pros and cons for Congress to weigh when it considers extending the law that temporarily... -
New York State Health Plans to
Affinity Health Plan, AmeriChoice by United HealthCare, Fidelis Care New York, Health Plus PHSP, Hudson...
Featured
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Aetna CEO Ronald A. Williams' 2
Apr. 23--Aetna Inc. Chief Executive Ronald A. Williams got $3.14 million in compensation for 2008 and... -
UnitedHealth, Aetna Win TRICARE
WASHINGTON, Jul 14, 2009 (A. M. Best via COMTEX)--UnitedHealth Group Inc. Aetna Inc. were awarded contracts... -
Seniors Defend Targeted Health
WASHINGTON -- One of the largest spending cuts Congress could rely on to pay for an overhaul of the nation's... -
Class-Action Suit Says Nationwi
A proposed class-action lawsuit has been filed against Nationwide Life Insurance Co. alleging the company... -
What is the Actual Number of Am
CNN has a fascinating post today on a question I've pondered in this space in the past: How many Americans... -
HealthMarkets, Subsidiaries Ban
HealthMarkets Inc. and two subsidiaries have settled a lawsuit by the Massachusetts attorney general that... -
Ingenix Acquires AIM Healthcare
EDEN PRAIRIE, Minn. FRANKLIN, Tenn.--(BUSINESS WIRE)-- Ingenix, a leading health information, technology... -
Economy-Driven Furloughs May Im
To deal with the economic downturn without laying off workers, some employers have instituted voluntary... -
8 Steps For Measuring The Cost
Even before the current economic crisis, evidence indicated that close to 70 million American workers... -
TriZetto Survey: Use of health
NEWPORT BEACH, Calif. - (BUSINESS WIRE) - A growing number of health plans believe that the transition... -
Mass Health Course at: As Obama
Copyright: The Philadelphia Inquirer Source: Philadelphia Inquirer, The Wordcount: 1578 Mar. 31--BOSTON... -
NAIC Members: Prescription For
Lost in the din of this summers health care debates is one important fact: there is a strong consensus...
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