Category: Health Care Reform

America’s health care system is undergoing many changes – it’s hard for insurance professionals to keep updated let alone consumers. Here we make it easy and publish daily articles on the changes and challenges that health care reform has ahead.

Private health insurance customers get 70% Eli Lilly insulin drug discount

H. Cutner
Private health insurance - Money - medical

The drugmaker will cap the monthly cost of the medication at $35 per month for those policyholders. Pharmaceutical company Eli Lilly & Co. has announced that it will reduce the price tag on its most commonly prescribed insulin products for private health insurance customers. This discount is by 70 percent, with a cap at $35 per month at certain retail pharmacies. The price of the Lispro injection will be discounted to $25 per vial, starting on May 1, 2023. Lilly also announced that it would be reducing the price of…

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California considers private health insurance for immigrants

Nordstrom
Health insurance - Immigration - United States

The state has yet to determine if such a strategy can be achieved affordably for the demographic. Though many Californians whose income is too high to be eligible for Medi-Cal can receive subsidized health insurance through Covered California, an estimated 460,000 residents without legal status can’t purchase coverage through the Affordable Care Act’s state-run plans. Some lawmakers are seeking to create a bill to help close that gap for those uninsured Californians. “We’re going to need to figure out how to provide universal coverage for all who call this state…

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Oregon is looking into a universal health care plan

Julie Campbell
Universal health care - Welcome to Oregon Sign

The state is considering the creation of a nine-member board that would be responsible for its development. In Oregon, a panel of lawmakers recently received two days of public testimony at its Capitol in Salem regarding a proposed nine-member governance board that would be responsible for developing a universal health care plan to provide coverage for everyone in the state. The governance board under Senate Bill 704 would develop a single-payer system for the coverage. Under Senate Bill 704, the nine-member board would be responsible for the creation of a…

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Millions of Americans could lose Medicaid health insurance as pandemic eases

Nordstrom
Health insurance - Medicaid card

As uninsured figures reach record lows, the expiration of pandemic policies is now looming. Health insurance experts are wondering if the massive gains in reducing the number of uninsured people there are living in the country will be lost as pandemic policies start coming to an end. The uninsured rate has dipped to yet a new low, having reached approximately 8 percent of the population. Some of that considerable achievement is the result of the policies put into place as a result of the pandemic. The government launched a range…

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Texas has more new health insurance plan enrollments than any other state

Nordstrom
Health insurance - Texas Enrollment

This year, the state has added 570,000 new enrollments to its Affordable Health Care Plans. Texas now leads all states across the US in people newly covered by health insurance, after having added 570,000 people to its Affordable Health Care Plans. The state made a number of important changes to boost the appeal and affordability of coverage. To help overcome its uninsured problem and bring in almost 570,000 new enrollments for 2023, Texas boosted its subsidy, implemented a new state rate law, and repaired the “family glitch”. The outcome has…

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US government intends to take $4.7 billion from health insurance companies

Marc
Insurance companies - paying back - American Flag

A new Medicare regulation will aggressively audit Advantage plans for indications of overbilling. The Biden administration has announced a new rule designed to crack down in Medicare private plans that have allowed insurance companies to overcharge the US government. The regulation is seeking a more aggressive approach to auditing the Medicare Advantage program’s plans. The Medicare Advantage program enrolls almost 50 percent of all the beneficiaries of Medicare. According to the Biden administration, it is expecting to recoup as much as $4.7 billion from insurance companies that have overcharged the…

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More than 16 million Americans enroll in Obamacare health insurance

Logan B.
Health insurance - Obamacare - Affordable

This figure represents a record-breaking number of enrollments into the Affordable Care Act’s coverage. Over 16.3 million people across the United States purchased health insurance through the Affordable Care Act (ACA) in the most recent open enrollment period, for a record number of enrollees since the program initially launched a decade ago. The enrollments took place between November 1, 2022, and January 15, 2023. The 16.3 million people who purchased their health insurance through the ACA represents an increase of about 2 million people over the number of enrollees from…

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