Explains how states and health assistance programs handle billing disputes for Medicaid beneficiaries, answers questions about Medicaid billing issues.
Examines interstate billing problems, presents the results of a survey of state approaches to out-of-state billing, lists some promising practices for processing out-of-state Medicaid claims.
Examines four kinds of protections states have put in place that are designed to protect low-income, uninsured, or underinsured Americans from medical debt
Discusses opportunities to protect consumers by requiring that insurance companies spend a minimum percentage of premium dollars on health care instead of administrative costs, marketing, and profits.
Despite the recent epic snowfall in D.C., our congressional leaders and President Barack Obama have continued to work towards a compromise on the health reform bills, in hopes of finding a way to move it across the finish line. Unfortunately, reform has not come quickly enough for many people in California.
Discusses the gaps in the current health coverage system in each state and explains how the Affordable Care Act will fill those gaps and help state residents.
The news of WellPoint's Anthem Blue Cross Blue Shield hiking up premiums for its customers in California by 39% made waves across the country, and many other of WellPoint's affiliates will soon follow suit.
California consumers are not alone as they face huge premium hikes. Other consumers in states across the country also will see rate hikes from WellPoint this year.
Learn why expanding home- and community-based care is cost-effective in the long run and how states can do it using two new Medicaid options in the Affordable Care Act.
Explores the many ways the Affordable Care Act helps eliminate health disparities by improving access to health care for communities of color.
In 2006 a Southern California couple who had purchased health insurance from Anthem Blue Cross had their coverage rescinded after using their benefits to cover a cardiac procedure. Several months after the procedure, Blue Cross retroactively canceled the couple’s coverage and left them with a six-figure medical bill. When consumers get sick, insurers sometimes try to avoid having to pay for their care through rescissions--the process of yanking coverage away, right when patients need it most, as though they were never covered at all.