Insurer claim denials and appeals in A.C.A. marketplace plans in 2020: K.F.F.

Insurer claim denials and appeals in A.C.A. marketplace plans in 2020: K.F.F.

“In this report, we analyze transparency data released by the Centers for Medicare and Medicaid Services (C.M.S.) on claims denials and appeals for non-group qualified health plans (Q.H.P.s) offered on HealthCare.gov,” Karen Pollitz, Matthew Rae and Salem Mengistu write over at the Kaiser Family Foundation. “Data were reported by insurers for the 2020 plan year, […]

Surprises in New York A.C.A. enrollments: Oscar’s low, and under-35’s are high

SUMMARY: We were surprised by the companies New Yorkers chose for their insurance providers under the Affordable Care Act. New York state residents , like others in states that built their own health-care exchanges, are signing up for health care under the Affordable Care Act in bigger numbers than those in states dependent on the […]

Buying insurance on the exchange: Another N.Y. State of Health trip

SUMMARY: The New York state individual insurance marketplace is still a dicey place to be, a few days before the Dec. 23 deadline to enroll for coverage starting Jan. 1. Here are a few adventures …     Jeanne PinderJeanne Pinder¬† is the founder and CEO of ClearHealthCosts. She worked at The New York Times […]