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5 Nov

J&J to pay $2.2B in Risperdal case

Johnson & Johnson was accused of misbranding the antipsychotic drug. The agreement is the government\'s third-biggest with a pharmaceutical company.

 BY BLOOMBERG NEWS (Bloomberg) -- Johnson & Johnson will pay more than $2.2 billion to resolve criminal and civil probes into the marketing of the antipsychotic drug Risperdal and other medicines in one of the largest U.S. health-care fraud cases. J&J's Janssen unit will plead guilty to a misdemeanor criminal charge over misbranding Risperdal for uses not approved by the Food and Drug...

1 Nov

CMS Announces 2014 Medicare Part A Premiums, Deductible

2013 & 2014 Costs at a Glance

  Part B premium Most people pay $104.90 each month. (This amount won't change in 2014.) Part B deductible   $147 per year (This amount won't change in 2014.) Part A premium Most people don't pay a monthly premium for Part A. If you buy Part A, you'll pay up to $441 each month. ($426 in 2014) Part A hospital inpatient deductible  You pay:  $1,184 deductible for each benefit period...

21 Oct

In Jersey City, business owner says paid sick-leave law is how things should be done

By Andrew George Statewide business groups in opposition to Jersey City's mandatory paid sick leave legislation have long said its regulatory nature will ultimately hurt small business. But that notion's lost on Steven Kalcanides, owner of Helen's Pizza, on Newark Avenue, where mayor Steven Fulop signed the bill this morning. Kalcanides said he doesn't think the new ordinance will be crippling to small...

6 Oct

Health Reform

Frequently Asked Questions

  Click below link to get answers to the questions below. http://kff.org/health-reform/faq/health-reform-frequently-asked-questions/ For additional resources to answer consumer questions, see www.healthreformbeyondthebasics.org Marketplace Eligibility, Enrollment Periods, Plans and Premiums What is the health insurance Marketplace? How do I find my state Marketplace? Who can buy coverage in the Marketplace? I live in one state, but drive across the border every day to work in a different state. What Marketplace should...

4 Oct

Bad exchange decisions could cost consumers billions

One looming problem for public exchange enrollment under the Patient Protection and Affordable Care Act could be a (very) costly one to consumers.

BY KATHRYN MAYER One looming problem for public exchange enrollment under the Patient Protection and Affordable Care Act could be a (very) costly one to consumers. A study from the Columbia School of Business found that more than 80 percent of consumers unknowingly will choose a higher cost health care plan than they need. The total bill for these mistakes? $9 billion. “Consumers’ failure to identify the most...

1 Oct

Obamacare Markets Debut as Early Hurdles May Slow Signups

The three-year effort to open the Obamacare health-insurance exchanges culminates today, beset by logistical delays and a U.S. government shutdown borne of Republican opposition to the Affordable Care Act.

By Alex Wayne & Alex Nussbaum Even states that have cooperated with the rollout are downplaying the debut of the marketplaces to avoid having their websites and call centers overwhelmed. Federally run exchanges in 36 states opened at 8 a.m. Washington, D.C., time. There were indications some states were delaying their startup times by hours and some services by days.   Enlarge image The $1.4 trillion Affordable Care...

23 Sep

Americans like their health plans, not the system

Workers are pretty happy with their own health plan, but when the story turns to the overall health care system, feelings change.

BY KATHRYN MAYER According to a survey by the nonpartisan Employee Benefit Research Institute and Greenwald & Associates, about half (51 percent) of those with coverage say they are “extremely” or “very satisfied.” Another 37 percent said they’re “somewhat satisfied” with their health plan, while 10 percent said they aren’t too (8 percent) or not at all (2 percent) satisfied. But satisfaction among workers...

6 Sep

An Early Look at Premiums and Insurer Participation in Health Insurance Marketplaces, 2014

With open enrollment in new insurance marketplaces set to begin Oct. 1, this analysis provides an early look at insurance premiums in 17 states and DC that have publicly released comprehensive data about their rates and the impact of tax credits that will

 Cynthia Cox, Gary Claxton, Larry Levitt and Hana Khosla With open enrollment in new insurance marketplaces set to begin Oct. 1, this analysis provides an early look at insurance premiums in 17 states and DC that have publicly released comprehensive data about their rates and the impact of tax credits that will offset part of the costs for low- and moderate-income families. The analysis compares the premiums in...

4 Sep

Medical groups fear ACA grace period will lead to unpaid claims

Stakeholders ask federal officials to require health plans purchased on insurance exchanges to notify physician practices and hospitals when patients stop paying premiums.

By CHARLES FIEGL Washington Physicians are calling for real-time patient information regarding insurance coverage eligibility status from health plans purchased on new exchange marketplaces, citing a potential loophole that could leave doctors holding the bill. Doctors, practice administrators and hospitals have continued to express concerns to the Centers for Medicare & Medicaid Services about claims for services going unpaid when patients stop paying premiums...

29 Aug

Medicare Advantage

What Is Medicare Advantage and Who Is Covered? Medicare Advantage is the part of Medicare through which private health plans provide comprehensive medical coverage to seniors and other Medicare beneficiaries.

  Over 14 million Americans, or roughly 28 percent of all Medicare beneficiaries, have chosen to enroll in a Medicare Advantage plan because of the better services, higher-quality care and additional benefits these plans provide.  Analysis of federal data also shows that Medicare Advantage is an important option for low-income and minority Medicare beneficiaries.  Seniors who chose to enroll in Medicare Advantage express high...

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