Gym membership coverage: A potential double-edged sword for the insurance market

Some private insurers participating in the Medicare Advantage program have begun offering gym memberships as a way to encourage older consumers to stay healthy and active. While many consider this to be good news, others say that the practice is a double-edged sword. Inclusion of gym memberships may signal that insurers are attempting to procure the healthiest individuals while leaving the high-risk policies in the hands of the Medicare program. This practice may have an impact on how health insurance exchanges. These state-run insurance programs will provide limitless coverage to…

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Trustmark Life Insurance clashes with federal regulators over higher insurance rates

Trustmark Life Insurance Co. has run afoul of federal insurance regulators who claim that the company has raised rates for health insurance to unreasonable levels. The insurer has raised rates in five states by at least 13%, according to the Department of Health and Human Services. These states are Arizona, Virginia, Wyoming, Pennsylvania and Alabama. The Affordable Care Act requires insurers to submit their rate proposals for federal review if they pass the 10% mark. The Department of Health and Human Services has ordered the insurer to rescind the rate…

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A.M. Best Co. releases updated outlook for American health insurance sector in 2012

A.M. Best Co. has issued a briefing that provides a revision on its initial outlook for the United States Health Insurance sector in 2012, raising it from being negative to being stable. Last year at this time, A.M. Best had confirmed its negative forecast for that sector, primarily over worries about the capability of that sector of the insurance industry to be able to put into place and maintain the various requirements for the Patient Protection and Affordable Care Act (PPACA), in addition to concerns over the chance that there…

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Supreme Court may delay ruling on Affordable Care Act until 2015

The Supreme Court is scheduled to begin hearing a case regarding the constitutionality of the 2010 Affordable Care Act on March 26. Many have assumed that the individual insurance mandate provision of the law, which requires all U.S. citizens to have some form of health insurance, would be among the first topics of discussion. The Court, however, has announced that the issue to be discussed will be whether a decision on the constitutionality of the law should be made now or delayed for the future. The Supreme Court may choose…

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New insurance fee to pay for medical treatment studies

Beginning in 2012, there will be a new federal fee applied to health insurance policies which will be applied to research studies that will help to determine which types of treatments, tests, procedures, and drugs are the most effective. The purpose of these medical studies is to identify whether new tests and treatments truly are as effective as their less expensive generic counterparts. This is a portion of the Obama administration’s health care law that has not received as much hype as other elements such as the state insurance exchanges.…

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