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Insurers Warn 'Back-End Problems Persist with HealthCare.gov
By all accounts, the shopping experience on HealthCare.gov has improved significantly. That means customers can routinely access information about what health plans and subsidies are available and select the product of their choice.
By all accounts, the shopping experience on HealthCare.gov has improved significantly. That means customers can routinely access information about what health plans and subsidies are available and select the product of their choice.
But many questions remain about the accuracy of the information that's submitted to insurance companies. Ever since the Oct. 1 opening of the federal and state online marketplaces, there have been problems with so-called 834 enrollment files that provide detailed information to insurers about new subscribers.
CMS officials asserted this week that the bulk of the problems have been fixed, attributing 80% of those glitches to a now-resolved bug that caused inaccurate reporting of Social Security numbers. Problems with accurately identifying the relationship between family members (e.g. a child reported as a parent) were also fixed, the CMS said.
Read the full story here: http://bit.ly/1cb1oTx
Source: Modern Healthcare
Trump Administration’s Message to Supreme Court Puts New Wrinkle in Braidwood Case
February 21st 2025The Trump administration argues that HHS Secretary Robert F. Kennedy Jr can overrule the US Preventive Services Task Force to determine the preventive services covered under the Affordable Care Act.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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5 Key Health Care Moments During President Trump's First Month Back in Office
February 21st 2025President Donald J. Trump pushed for significant health care changes during his first month back in office, through executive orders affecting managed care, drug pricing, and clinical trial diversity guidance.
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NSCLC Advancements Offer Hope, but Disparities Persist
February 20th 2025Ioana Bonta, MD, Georgia Cancer Specialists, discusses the evolving state of non-small cell lung cancer (NSCLC) treatments, their impact on patient outcomes, and the need to address ongoing disparities in these populations.
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