News You (probably) Can’t Find Anywhere Else!
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This wildest presidential election possibly ever is now in the books. Donald Trump, a man who has never held political office and has no military background, stands ready to head to the Oval Office in roughly two months to become the 45th president of the United States.
Besides a special session on Medi-Cal, the big health care issue waiting action by lawmakers when they return from summer recess today is the high cost of new specialized prescription drugs.
The debate over new taxes and fees — a dominant theme in the final weeks of the legislative session — with some Democratic lawmakers calling for a new tax on health insurance plans to pay for Medi-Cal and other social services
Insurers UnitedHealth Group and Oscar likely will start selling health plans through Covered California next year, the Los Angeles Times reports (Terhune, Los Angeles Times, 7/24).
– Drug Costs, ACA Penalty,
Medicare Fraud, Waste, Abuse & Overpayments
July 28 – Small-business owners are descending on Washington this week to lobby Congress to roll back an ObamaCare rule that could hit companies with thousands of dollars’ worth of penalties.
As Medicare approaches its 50th anniversary next week, the federal program got some welcome financial news Wednesday: Its giant hospital trust fund will be solvent until 2030, and its long-term outlook has improved, according to a report from the program’s trustees.
Under the Affordable Care Act (ACA or health care reform law), individual and small group health plans must include a certain set of benefits.
“Cadillac Tax” Draws Criticism from Large Employers and Unions. Extended In-Home Care bill passed for Chronically Ill Medicare Beneficiaries.
This bill (AB 339) aims to cap out-of-pocket costs for prescription medications, Modern Healthcare reports (Dickson, Modern Healthcare, 7/4). Prices for specialty drugs for the treatment of serious or chronic conditions have soared in recent years.
Plans that offer coverage to children on their parents’ plan are required to make coverage available until the adult child reaches the age of 26 – Aetna’sPolicy
As of January 1, 2016 this means employers with 1 to 100 employees. With the ACA law, new small group health care plans have to be priced using community rating.
Los Angeles‑based managed care provider Health Net is being acquired by Centene Corp. in a deal valued at $6.8 billion
Aetna aims to spend about $35 billion to buy rival Humana and become the latest health insurer bulking up on government business as the industry adjusts to the federal health care overhaul.
Financing the Medi-Cal program may not be sustainable, Brown said, given its expansion over the past two years and the looming loss of the managed care organization tax, which could cost the state about $1.1 billion.
June 17, 2015, *annual enrollment periods extend from November 1, of the preceding calendar year, to January 31 of the benefit year * bill would revise the definition of small employer, for plan years commencing on or after January 1, 2016 * bill would request the University of California to include essential health benefits …