Texas Children’s Essential New Detransition Clinic Opens Now
📰 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. Houston-based Texas Children’s Hospital has opened a detransition clinic, fulfilling a requirement of its settlement with Texas Attorney General Ken Paxton, the attorney general’s office said […]
Proven Ways to Ensure Your Health Insurance Security
Direct answer You should check the company’s financial strength ratings from independent agencies like A.M. Best or Standard & Poor’s, as these ratings indicate the insurer’s ability to pay future claims. Independent credit rating agency reports and state insurance department insolvency filings. For additional information about state-level financial oversight, see the National Association of Insurance […]
Five Powerful Companies Commit to Faster Electronic Authorizations
📰 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. Amazon, Google, Meta and other employers agreed to reform their prior authorization policies for their self-funded health plans, which provide coverage for millions of Americans. Read […]
Essential Steps to Report Insurance Billing Fraud Now
Direct answer If you notice suspicious charges on your Explanation of Benefits, you should first contact your insurance company’s fraud department directly to dispute the claim. If the company fails to address the discrepancy, you should file a report with your state’s insurance fraud bureau or the National Health Care Anti-Fraud Association. National Health Care […]
Essential Guide: Using HRA Funds for Premiums Securely
Direct answer Yes, you can use HRA funds for insurance premiums if your specific plan design allows it, though it depends on whether your employer has opted into the premium reimbursement feature. IRS Publication 969 governing Health Savings Accounts and other tax-favored health plans. For additional information about eligibility requirements and expense reimbursements, see the […]
Do HRA Funds Roll Over? A Practical Guide
Direct answer It depends on your employer’s plan document; while some HRAs allow unused funds to roll over, others are structured as ‘use-it-or-lose-it’ arrangements at the end of the plan year. Internal Revenue Service guidance on employer-funded health reimbursement arrangements. For additional information about the rules governing health reimbursement arrangements, see the Internal Revenue Service’s […]
Proven Ways Amazon and Google Back CMS Reform
📰 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. Amazon, Axon Enterprise, Google, Meta and Oracle backed expanding electronic prior authorization to self-funded employer health plans. The post Amazon, Google and Other Major Employers Back […]
Essential Guide to Protect Your Health Insurance Plan
Direct answer A health insurance plan is likely a scam if it requires an immediate wire transfer for payment, offers ‘guaranteed’ coverage without asking for your health history, or uses a high-pressure sales tactic to force an instant decision. You should verify the agent’s license through your state’s Department of Insurance website before providing any […]
Protect Yourself: Is Surprise Billing Covered?
Direct answer Yes, you are protected from balance billing for non-emergency services provided by out-of-network clinicians, such as anesthesiologists or radiologists, while at an in-network facility, unless you provided informed written consent to waive these protections. Official regulatory summaries provided by the U.S. Department of Health and Human Services concerning healthcare consumer billing rights. For […]
Mass General Brigham Reveals Proven Plan to Fix Budget Shortfall
📰 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. Somerville, Mass.-based Mass General Brigham has started a new round of layoffs, its second in less than two years, as the state’s largest health system aims […]