Texas Attorney General Investigates UnitedHealth for Protected Care
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Ken Paxton is on the hunt for evidence that UnitedHealth is breaking the Deceptive Trade Practices Act and other Texas laws, citing “alarming reports” of denied […]
Fitch Upgrades Beazley: A Powerful Strategic Move
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. After Zurich Insurance Group completed its 100% acquisition of specialist insurer Beazley, Fitch Ratings has upgraded the Insurer Financial Strength (IFS) Rating of Beazley Insurance DAC […]
Powerful New Executive Moves Boost Alliant and Doubtless
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Jeff Severino has joined Alliant Insurance Services as vice president within its employee benefits group on the Alliant Affinity team. Based in Kansas City, Severino will […]
Kaiser Permanente Guarantees Essential Back Pay To Nurses
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Following an arbitration agreement, more than 1,000 nurses will be compensated for a payment error that began in 2021, the California Nurses Association said. The major […]
3 Essential Payer Contracting Strategies For AHS Leaders
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Academic health systems (AHSs) deliver capabilities few other organizations can replicate, but their payer contracts do not always reflect that value. Their advanced services, specialized expertise, […]
Fixing US Healthcare: The Proven Way to Align Incentives
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Trilliant Health’s report identifies six trends highlighting how misaligned incentives are contributing to rising costs, poor health outcomes, workforce shortages and other systemic problems in U.S. […]
Expert Guide: How Much Is Health Insurance at 50?
Direct answer It depends on your specific age, the state where you reside, and the metal tier of the plan you choose. Premiums generally increase with age due to the higher statistical likelihood of medical service utilization. Data derived from national average premium filings and actuarial age-rating tables published by state insurance regulators. For additional […]
Expert Guide: Choosing The Best HMO or PPO For Your Family
Direct answer It depends on whether you prefer lower out-of-pocket costs with an HMO’s network restrictions or the flexibility to see specialists without referrals provided by a PPO. A PPO is often better if your family requires consistent access to a wide range of specialists, while an HMO is more cost-effective if you stay within […]
The Ultimate Guide: Does Medicare Protect Dental Implants?
Direct answer No, Original Medicare (Part A and Part B) does not cover routine dental care or dental implants, as these are considered non-medically necessary services under the standard policy. Official CMS Medicare Coverage Guidelines for dental services. For additional information about specific exclusions, see the Centers for Medicare & Medicaid Services coverage overview. What […]
Ultimate Guide: Can You Combine Medicare and Medicaid?
Direct answer Yes, you can be dual eligible if you meet the specific income and asset requirements for Medicaid while also qualifying for Medicare based on age or disability. Centers for Medicare & Medicaid Services (CMS) guidelines on dual-eligible beneficiaries. What this means for you Yes, you can be dual eligible if you meet the […]