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Objective: To examine the impact of the Affordable Care Act (ACA) health insurance exchanges (Marketplace) on the rate of uninsured discharges in Texas. Data Source and Study Setting: Secondary discharge data from 2011 to 2019 from Texas. Study Design: We conducted a retrospective study estimating the effects of the ACA Marketplace using difference-in-difference regressions, with the main outcome being the uninsured discharge rate. We stratified our sample by patient's race, age, gender, urbanicity, major diagnostic categories (MDC), and emergent type of admissions. Data Collection/Extraction Methods: We used Texas hospital discharge records for non-elderly adults collected by the state of Texas and included acute care hospitals who reported data from 2011 to 2019. Principal Findings: The expansion of insurance through ACA Marketplaces led to reductions in the uninsured discharge rate by 9.9% (95% CI, -17.5%, -2.3%) relative to the baseline mean. The effects of the ACA were felt strongest in counties with any share of Hispanic, in counties with a larger population of Black, and other racial groups, in counties with a significant share of female and older age individuals, in counties considered to be urban, in high-volume diagnoses, and emergent type of admissions. Conclusions: These findings indicate that the ACA facilitated a shift in hospital payor mix from uninsured to insured. KEYWORDS ACA, hospital payor mix, uninsured hospitalization, 1 | INTRODUCTION Hospitals have a long history of being the insurer of last resort for individuals without health insurance. About 40 million uninsured nonelderly individuals received uncompensated care in [...]

Health insurance, like any insurance, is about pooling risk and paying premiums to create some financial cushion against costly events. For years, though, many large employers--what constitutes large means varies, [...]

LIFE/HEALTH Mergers Coventry Health Plan of Florida Inc. (AMB# 064102), Plantation, FL, USA. This company merged with and into Aetna Health Inc. (a Florida corporation) on Jan. 1, 2024. Texas [...]

Objective: To validate imputation methods used to infer plan-level deductibles and determine which enrollees are in high-deductible health plans (HDHPs) in administrative claims datasets. Data Sources and Study Setting: 2017 medical and pharmaceutical claims from OptumLabs Data Warehouse for US individuals Study Design: We impute plan deductibles using four methods: (1) parametric prediction using individual-level spending; (2) parametric prediction with imputation and plan characteristics; (3) highest plan-specific mode of individual annual deductible spending; and (4) deductible spending at the 80th percentile among individuals meeting their deductible. We compare deductibles' levels and categories for imputed versus actual deductibles. Data Collection/Extraction Methods: Not applicable. Principal Findings: All methods had a positive predictive value (PPV) for determining high- versus low-deductible plans of [greater than or equal to]87%; negative predictive values (NPV) were lower. The method imputing plan-specific deductible spending modes was most accurate and least computationally intensive (PPV: 95%; NPV: 91%). This method also best correlated with actual deductible levels; 69% of imputed deductibles were within $250 of the true deductible. Conclusions: In the absence of plan structure data, imputing plan-specific modes of individual annual deductible spending best correlates with true deductibles and best predicts enrollees in HDHPs. KEYWORDS data analysis, health insurance, high-deductible health plans, research methods, 1 | INTRODUCTION High-deductible health plans (HDHPs) are among the most common type of health plan for the 155 million Americans who receive their health insurance through an employer and [...]

It wasn't long ago that pharmacy benefit managers (PBMs) labored in relative obscurity in American healthcare. Hospitals, doctors, health insurance companies, pharmaceutical manufacturers--those were the industry's stars, wielding not-minor amount [...]

Swiss Re named Andreas Berger to succeed Christian Mumenthaler as group chief executive officer, effective July 1. Mumenthaler decided to step down after eight years as group CEO and 25 [...]

With more than one out of every three Angelenos eligible for government health care programs targeting low-income residents--more than 3.6 million in all--insuring and caring for low-income Angelenos is big [...]

WESTLAKE For nearly a decade, John Baackes has helmed L.A. Care Health Plan, the nation's largest public health plan. The Westlake-based nonprofit insurer's mission is to provide access to quality [...]

RETIREMENT CHOOSE A MEDICARE PLAN THAT’S RIGHT FOR YOU Consider your health care needs over the long term as you weigh costs and coverage. BY SANDRA BLOCK WHEN President Lyndon [...]

RETIREMENT / Choose a Medicare Plan That’s Right for You COVERAGE FOR VETERANS AND FEDERAL GOVERNMENT RETIREES If you’re eligible for TRICARE, the health insurance program provided to members of [...]

MONEY YOUR GUIDE TO OPEN ENROLLMENT With health care costs on the rise, it’s critical to select a plan that fits your needs at the right price. BY LAURA PETRECCA [...]

Mark Farrah Associates (MFA) reported it has released a year-over-year comparison for health insurance segment enrollment. According to a release, MFA assessed membership between 2Q23 and 2Q24 to provide greater [...]

Get ready for one of the most important shopping periods of the year -- and it has nothing to do with buying holiday gifts. As 2024 winds down, millions of [...]

Private Medicare insurers received approximately $4.2B in extra federal payments in 2023 for diagnoses made during home visits the company initiated, even though they led to no treatment, Christopher Weaver [...]

Global Banking News-October 24, 2024--Jio Financial and Allianz could collaborate in India (C)2024 ENPublishing - http://www.enpublishing.co.uk Global Banking News - 24 October 2024 Indian financial services company Jio Financial Services [...]

Byline: Medgatetoday Gmail.Com Pristyn Care has announced the launch of a pilot programme to introduce cashless treatment facilities in non-network hospitals, aligning with the Insurance Regulatory and Development Authority of [...]

The Biden administration is proposing a rule that would provide women with private insurance access to over-the-counter, OTC, birth control pills and contraceptives at no cost, Ahmed Aboulenein of Reuters [...]

Medicare enrollment is open and insurers are making changes, increasing costs for some. Medicare is a key health insurance source for older Americans, often linked to Social Security. These changes [...]

(https://www.youtube-nocookie.com/embed/ydrtF45-y-g?rel=0&autoplay=0&showinfo=0&enablejsapi=0) https://www.youtube-nocookie.com/embed/ydrtF45-y-g?rel=0&autoplay=0&showinfo=0&enablejsapi=0 Earlier this year, the United States got its first (https://www.nytimes.com/2024/03/04/health/opill-birth-control-nonprescription.html) over-the-counter birth control -- Opill, which retails at $19.99 a month, a progestin-only pill that is 98 percent [...]

Byline: Adgully Bureau In recent years, the government has taken significant steps to ensure that senior citizens have access to affordable healthcare. Recognising the growing need for health coverage among [...]

Byline: Geetanjali Minhas Insurers are required to follow cyber security guidelines for operations) IRDAI, in an advisory, has called upon all insurers to check their IT systems for vulnerabilities and [...]

Byline: Sarah Mitchell We're already making changes to so many areas of our lives to deal with the cost of living crisis. Now, hundreds of thousands of people's healthcare is [...]

As the Medicare Annual Enrollment Period begins, GoHealth announced the launch of AI and proprietary technology tools dedicated to increasing efficiency and improving consumer experience. This new technology is designed [...]

Byline: Our Bureau HealthPlix Technologies, India's largest AI-powered EMR software for doctors, has achieved HIPAA (Health Insurance Portability and Accountability Act) certification, marking a significant milestone in its dedication to [...]

Global Banking News-October 14, 2024--Singapore to block Allianz deal (C)2024 ENPublishing - http://www.enpublishing.co.uk Global Banking News - 14 October 2024 The Singapore government has taken a decision to block a [...]

In This Issue / Best of the blogs Devotion to the NHS is waning https://iea.org.uk A recent YouGov poll found that about 30% of Britons believe European systems provide better-quality [...]

Humana (HUM) shares are weaker in premarket trading after the U.S. Medicare program released final quality ratings for private Medicare Advantage plans, confirming a previously warned about cut for the [...]

Humana's stock is down 23% in its worst weekly drop since 2020 and biggest two-day decline since 2009. The drop comes as Medicare downgraded ratings on some of Humana's health [...]

Mark Z. Barabak Los Angeles Times When she began her career as a San Francisco prosecutor and California attorney general, Kamala Harris was squarely center-left, said Mark Z. Barabak. But [...]

India, Oct. 1 -- The Union government has recently announced that it will extend the benefits of the publicly funded national health insurance programme, Pradhan Mantri Jan Arogya Yojana (PMJAY), [...]

Global Banking News-September 30, 2024-Cirata secures 12-month contract renewal with HCSC worth USD983,010 (C)2024 ENPublishing - http://www.enpublishing.co.uk Data migration specialist Cirata plc (LSE: CRTA) has announced the renewal of its [...]

Neuronetics announced that Health Care Service Corporation, HCSC, has expanded access to TMS for adolescents 15 and older with major depressive disorder, MDD. This policy parallels the recent clearance by [...]

Byline: Moneylife Digital Team The Union Cabinet has approved health coverage to all senior citizens aged 70 years and above, irrespective of income, under the Ayushman Bharat Pradhan Mantri Jan [...]

Byline: Moneylife Digital Team The Union Cabinet has approved health coverage to all senior citizens aged 70 years and above, irrespective of income, under the Ayushman Bharat Pradhan Mantri Jan [...]

Byline: Our Bureau The Union Cabinet, chaired by the Prime Minister Narendra Modi, has approved the health coverage to all the senior citizens aged 70 years and above irrespective of [...]

Kendell LeBray Director, quality improvement and health equity Health Care Service Corp. LeBray has created several strategies aimed at improving wellness for communities in need. He has successfully rolled out [...]

When Katie Anderson formed a limited liability company in Northglenn, Colorado, to support her insurance sales business, she named it Kalaco. That stood for 'Katie Anderson Loves Aflac Company.' Like [...]

On May 11, 2023, the federal COVID-19 public health emergency (PHE) ended after more than 3 years, (1) marking the conclusion of significant federal health care support for states and [...]

2024 AUG 31 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Fresh data on Proteins - Blood Proteins are presented in a new [...]

Kamala Harris’ candidacy has been surging on the strength of a positive “vibe,” said The Washington Post in an editorial, but it’s time for her to answer some tough questions. [...]

Mindera Health, developer of Mind.Px, the first realization of precision medicine in psoriasis, reported it has completed the credentialling process to become a Medi-Cal provider making its services available to [...]

(https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1b6b10ae-d3da-4fab-9480-f1f99f624b64_1010x600.png) Speaking to the press in front of some breakfast foods and his Bedminster, New Jersey, golf club he’s apparently tarted up to look like the White House, Donald Trump [...]

Aclarion announced their third payer coverage of Nociscan by Vitality in London, UK in conjunction with The London Clinic, one of the UK's largest and most renowned independent hospitals. With [...]

Global Banking News-August 7, 2024--Singapore ministers allay concerns about Allianz deal (C)2024 ENPublishing - http://www.enpublishing.co.uk Global Banking News - 07 August 2024 Ministers in Singapore have addressed concerns about an [...]

RAFI ALAM Medibank may finally face the consequences of their 2022 data breach, with Australia’s privacy regulator, the Office of the Information Commissioner (OAIC), filing civil penalty proceedings in the [...]

AIRLINE INDUSTRY INFORMATION-(C)1997-2024 M2 COMMUNICATIONS An analysis of 32,000 industry claims over five years shows such incidents as crashes and collisions account for over half the value of all claims [...]

Travel Business Review-August 1, 2024-Crashes and Collisions Dominate USD 15bn of Aviation Insurance Claims, According to Allianz (C)2024] ENPublishing - http://www.enpublishing.co.uk An analysis of 32,000 industry claims over five years [...]