#Health Plan

MedCity News

CMS suspends enrollment in UnitedHealthcare, Anthem MA plans

The Centers for Medicare & Medicaid Services has suspended enrollment in three Medicare Advantage plans offered by UnitedHealthcare and one by Anthem because they did not meet the minimum quota for benefits expenditure. The Social Security Act requires MA organizations to maintain a medical loss ratio of at least 85%,...
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Washington Post

It's booster shot week

Good morning! It's the last few days of summer, and we're here with a hot take: Summer is the best season. ☀️☀️☀️. Today, insurers are again leaving patients with big bills and a low dose of Pfizer-BioNTech's vaccine is safe and effective for kids as young as 5. But first:
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Sacramento Bee

‘The kids are not all right’: What can federal lawmakers do for students’ mental health?

Back-to-school this year comes amid a pandemic, wildfires and questions about how being in-person will work on top of other stressors normally faced by students. As school-children make their way to the classroom for the first time in over a year, California’s congressional delegation is pitching resources to aid with their mental health. Though this legislation would likely not be enacted this academic year, if at all, many resources could be implemented in 2022.

Your guide to addressing claims pre-payment to maximize savings

The United States spends more on healthcare than any other country. And that’s not going away. The U.S. Centers for Medicare and Medicaid Services project spending to increase about 5.4% each year, reaching $6.2T by 2028. Studies published in the Journal of the American Medical Association found that a quarter...

Telehealth bill would require ERISA plans to cover virtual care

Thanks to federal COVID-19 measures that opened up viable pathways for telehealth to take off, many patients, including those using Medicare, have enjoyed a safer, easier way to get the medical care they need during the pandemic. However, not all patients have been able to access telehealth equally. While select...

Election 44: What are the federal parties promising on health?

Curbing COVID-19 Prime Minister Justin Trudeau called the early election two days after announcing that his government would require federal public servants and travellers on planes, trains and cruise ships to be vaccinated against COVID-19. To support the plan, the Liberals would launch a $1-billion fund for provinces and territories implementing proof of vaccination systems and table legislation to protect businesses that implement their own mandates.

Hennepin County commits $20M to meet increasing need for behavioral health services

The county has set aside $20 million to increase equity and access to mental health supports. COVID-19 has taken a toll on people’s mental health, creating an urgent need to build on this work. During the pandemic, four times more people have reported symptoms of anxiety or depression. Suicide was the second leading cause of death of Minnesotans ages 18-34 in 2020.

Dentists chip away at uninsured problem by offering patients membership plans

Nevada dentist David White has seen diseased and rotted teeth in the mouths of patients who routinely put off checkups and avoided minor procedures such as fillings. While dental phobia is a factor, White said, the overriding reason people avoid treatment is cost. To help patients lacking dental insurance, White...
Macomb Daily

An active social life boosts health and well-being during the pandemic

Pandemic isolation and social distancing took a huge toll on our social lives over the past 18 months. Maintaining our friendships has been harder than usual “in this era of no hugs and no handshakes,” says Irene S. Levine, Ph.D, a psychologist and producer of The Friendship Blog, an online advice column. “Not only is making new friends more difficult now, but many of us have less psychic energy to do so because of the stress associated with COVID-19 and the havoc it wrought on our lives and livelihood.”

POLITICAL ROUNDUP: Culver and Pemberton want politics outside of health | News

“My exact comment to him was, ‘If you’ve got a health board or a medical board, you would sure want some doctors, nurses and somebody in the field. For the electricians board, I would think you would want some certified electricians on it that know this stuff.’ So I’m all in favor of the health board having some doctors, nurses – somebody in the health care field,” Culver said. State Rep. Bob Ed Culver, R-Tahlequah, said he ran a bill last session to require six of the members of the Oklahoma Abstractors Board to be licensed abstractors. It passed both the House and Senate overwhelmingly, but was struck down by the governor. The two new members of the board Stitt appointed are Susan Dell’Osso, a former chief innovation officer for INTEGRIS Health, and Gino Demarco, a former senior executive for a Medicaid consulting and software company.

Iowa’s public health workforce is burned out. Can it recover?

The pandemic public health emergency placed an overwhelming burden on an already underfunded and understaffed public health workforce. For at least 15 months, staff at public health agencies have worked seven days a week, sometimes unable to take more than two hours away at a time from their email and phones, administrators told The Gazette. They tried to soothe terrified residents and were battered with abuse from those who disagreed with pandemic mitigation strategies, all while feeling the impact of the pandemic on their personal lives.