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Rule Spells Out How Insurers Must Cover Mental Health Care
Among other things, the law prohibits treatment limits and copayments or deductibles that are more restrictive than a health insurance plan's medical coverage. Now regulations make the specifics clearer.
Medicare Penalizes Nearly 1,500 Hospitals For Poor Quality Scores
Medicare has tied incentive payments and penalties to two-dozen quality measurements, including surveys of patient satisfaction and death rates. More than 1,200 hospitals are receiving bonuses. But more hospitals are being paid less for each Medicare patient they treat for the year that began Oct. 1.
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Canceled In California: People Eye Health Plans Off Exchange
Some Californians are choosing plans that don't comply with the Affordable Care Act to save money. They have only a few weeks left to pick coverage that will last a year. It will eventually be replaced by health insurance that includes a full range of essential benefits, but at a higher cost.
Don't Count On Insurance To Pay For Genetic Tests
After Angelina Jolie announced she has a genetic variant that raises her risk of breast cancer, many women asked their doctors for the test. Insurers will pay for tests only if there's a clear indication that it would help shape medical care. That's often not the case.
Medicare Names Best And Worst Hospitals For Joint Replacements
Among the thousands of hospitals in the U.S., Medicare has identified 95 where elderly patients were most likely to suffer significant setbacks and another 97 hospitals where patients tended to have the smoothest recoveries.
Few Clues On Health Law's Future Emerge In Supreme Court Arguments
Will the Supreme Court strike down tax credits that help moderate-income Americans afford coverage in the three dozen states where the marketplace is being run by the federal government?
Attention, Shoppers: Prices For 70 Health Care Procedures Now Online!
It's not exactly Priceline.com for knee replacements. But a website from the nonprofit Health Care Cost Institute could helping patients shop around for the best values.
Most N.Y. Marketplace Plans Lack Out-Of-Network Coverage
With a few exceptions, all the policies sold on New York's health insurance marketplace won't pay for routine expenses from doctors or hospitals not in their networks.
High-Deductible Health Plans Cut Costs, At Least For Now
Health plans that require people to pay thousands of dollars up front cut costs in the first three years, a study finds. But no one knows if costs will rise later as people avoid preventive care.
5 Things To Know About The Latest Supreme Court Challenge To Health Law
Millions of Americans might not be able to afford insurance if the Supreme Court rules the government erred in making subsidies available in all states. Arguments are
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