Podcasts about health insurers

Tuesday, January 2nd, 2024Today, Trump's response brief in the immunity case is due to the DC Circuit Court of Appeals; Israel's high court strikes down Netanyahu's judicial overhaul law; more Americans can now get insulin for $35; McKinsey will pay $78 million in a U.S. opioid settlement over its work for drug firms like Purdue Pharma; an appeals court allows California's ban on guns in most public places to take effect. Plus Allison and Dana deliver your good news.Promo CodeGo to drinkAG1.com/dailybeans to try AG1 and get a FREE 1-year supply of Vitamin D3 AND K2 AND 5 FREE AG1 Travel Packs with your first purchase.More from our Guest:Dave Aronberghttps://twitter.com/aronbergDave Aronberg - YouTubehttps://linktr.ee/davearonbergHow We Win The House 2024!https://swingleft.org/fundraise/howwewin2024Want some sweet Daily Beans Merchhttps://shop.dailybeanspod.com/products/fani-t-willis-teeSubscribe to Lawyers, Guns, And MoneyAd-free premium feed: https://lawyersgunsandmoney.supercast.comSubscribe for free everywhere else:https://lawyersgunsandmoney.simplecast.com/episodes/1-miami-1985Check out other MSW Media podcastshttps://mswmedia.com/shows/Follow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://twitter.com/MuellerSheWrotehttps://twitter.com/dailybeanspodhttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction?Good News & Confessions - The Daily BeansFrom the Good Newshttps://ridingbeyond.orgSame Old Lang Syne by Dan Fogelberghttps://www.youtube.com/watch?v=kmZ2VHSkVYYListener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercast https://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercast https://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts The Daily Beans on Apple Podcasts

Plus: United Airlines may use passenger data to sell ads. Microsoft is investing $500 million for digital infrastructure in Quebec. Ariana Aspuru reports.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Tune in for today's industry updates.

Listen to the new "Unsung Stewards" podcast from The Rippel Foundation's ReThink Health Initiative.California Attorney General Rob Bonta is investigating hospitals' software algorithms to help identify potential racial biases in the systems. Listen to Health Affairs' Jessica Bylander and Rob Lott discuss the background and research behind racial biases in health care algorithms.ACT FAST AND SAVE: Health Affairs is offering 40% off for digital-only journal subscriptions and Insider/Unlimited memberships. Use code 40for40 to save 40% by 11:45 pm ET on December 2, 2022.View the Anniversary Timeline celebrating 40+ years of advancing health policy.Related Links: Dissecting Racial Bias in an Algorithm Used to Manage the Health of Populations (Science) Hidden In Plain Sight - Reconsidering The Use of Race Correction in Clinical Algorithms (NEJM) Podcast: Michael Sun on Racial Biases Hiding in EHRs (A Health Podyssey) The Potential For Bias in Machine Learning and Opportunities for Health Insurers to Address It (Health Affairs) Algorithmic Bias in Health Care: A Path Forward (Health Affairs Forefront) Leveraging Affordable Care Act Section 1557 to Address Racism in Clinical Algorithms (Health Affairs Forefront)

Major private health insurers are failing to meet a gold standard target of returning 90 per cent of premiums to their members - sparking calls for a crack down on the sector to reduce the gap between fees and services.See omnystudio.com/listener for privacy information.

Major private health insurers are failing to meet their target of returning 90 per cent of premiums to their members and there are calls to crack down on the sector.See omnystudio.com/listener for privacy information.

This week on Pharm5: Pharmacy Technician Day Boostrix during pregnancy AMA reviews PBMs COVID boosters for kids ISMP guidance for pharmacists in codes Connect with us! Listen to our podcast: Pharm5 Follow us on Twitter: @LizHearnPharmD References: Pharmacy technician day. ASHP. https://bit.ly/3exFuaj. Accessed October 13, 2022. 29-2052 pharmacy technicians. U.S. Bureau of Labor Statistics. https://bit.ly/3VuX0wr. Published March 31, 2022. Accessed October 13, 2022. Resume CV development. ASHP. https://bit.ly/3EGX2LY. Accessed October 13, 2022. FDA approves vaccine for use during third trimester of pregnancy to prevent whooping cough in infants younger than two months of age. U.S. Food and Drug Administration. https://bit.ly/3CAlc82. Accessed October 13, 2022. New AMA report calls for state regulation of drug price middlemen. Yahoo! Finance. https://yhoo.it/3rWe0hQ. Accessed October 13, 2022. Guardado JR. AMA. Competition in Commercial PBM Markets and Vertical Integration of Health Insurers with PBMs. https://bit.ly/3MwDSdx. Accessed October 13, 2022. Coronavirus (COVID-19) update: FDA authorizes Moderna and Pfizer-BioNTech bivalent COVID-19 vaccines for use as a booster dose in younger age groups. U.S. Food and Drug Administration. https://bit.ly/3TiXjZA. Accessed October 13, 2022. CDC Covid Data tracker. Centers for Disease Control and Prevention. https://covid.cdc.gov/covid-data-tracker/#demographicsovertime. Accessed October 13, 2022. Survey results from pharmacists provide support to enhance the organizational response to codes. Institute For Safe Medication Practices. https://bit.ly/3gaqejW. Published October 6, 2022. Accessed October 13, 2022.

Why don't more big payors in healthcare embrace plant-based eating? by Dr Michael Greger at NutritionFacts.org. Original post: https://nutritionfacts.org/video/why-dont-health-insurers-encourage-healthier-eating/  Related Episodes:  228 What if Doctors Were Paid to Keep People Well?   Dr. Michael Greger is a physician, New York Times bestselling author, and internationally recognized speaker on nutrition, food safety, and public health issues. A founding member and Fellow of the American College of Lifestyle Medicine, Dr. Greger is licensed as a general practitioner specializing in clinical nutrition. He is a graduate of the Cornell University School of Agriculture and Tufts University School of Medicine. In 2017, Dr. Greger was honored with the ACLM Lifestyle Medicine Trailblazer Award and became a diplomat of the American Board of Lifestyle Medicine.   He founded NUTRITIONFACTS.ORG is a non-profit, non-commercial, science-based public service provided by Dr. Michael Greger, providing free updates on the latest in nutrition research via bite-sized videos. There are more than a thousand videos on nearly every aspect of healthy eating, with new videos and articles uploaded every day.   His latest books —How Not to Die, the How Not to Die Cookbook, and How Not to Diet — became instant New York Times Best Sellers. His two latest books, How to Survive a Pandemic and the How Not to Diet Cookbook were released in 2020.  100% of all proceeds he has ever received from his books, DVDs, and speaking engagements have always and will always be donated to charity. How to support the podcast: Share with others. Recommend the podcast on your social media. Follow/subscribe to the show wherever you listen. Buy some vegan/plant based merch: https://www.plantbasedbriefing.com/shop      Follow Plant Based Briefing on social media: Twitter: @PlantBasedBrief YouTube: YouTube.com/PlantBasedBriefing  Facebook: Facebook.com/PlantBasedBriefing  LinkedIn: Plant Based Briefing Podcast Instagram: @PlantBasedBriefing   #vegan #plantbased #Plantbasednutrition #veganpodcast #plantbasedpodcast #plantbasedbriefing #drgreger #nutritionfacts #wfpb #wholefoodplantbased #healthcare #healthinsurance #sickcare #kaiserpermanente #chronicdisease #heartdisease #diabetes #obesity #highbloodpressure #sideeffects  

New policies and heightened competition are making payers re-consider their identities and roles in the health care industry. In this episode, Rachel (Rae) Woods invites health plan experts Mallory Kirby and Sally Kim to talk about why payers are positioning themselves as health solutions companies, the strategic moves in play, and why diversification may be necessary for survival. Radio Advisory is produced by Advisory Board, a division of Optum, which is a wholly owned subsidiary of UnitedHealth Group. Links: [Webinar] Understanding the evolving health plan identity [Webinar recording] How health plan identity is evolving

Why don't more big payors in health care embrace plant-based eating?

AP correspondent Mike Gracia reports on Health Rates.

The Supreme Court's ruling on the EPA alters the Biden Administration's climate strategy. Health insurers must now publicize the prices they pay hospitals and doctors' offices for services. And, the trial in Russia that will decide Brittney Griner's fate is underway. The WNBA star has been detained for more than four months.

As mental health and substance abuse problems grow sharply in the US, insurance analyst Dean Ungar explains how US health insurers are trying to break down the wall between medical health and mental health and better integrate the latter into their operations. Also in this episode, insurance analysts Frank Yuen, Soichiro Makimoto and Qian Zhu discuss updates to capital regimes in Asia-Pacific, and what it means for insurers in Japan, mainland China and Hong Kong SAR, China. Guests: Dean Ungar, Vice President – Senior Credit Officer, Moody's Investors Service; Qian Zhu, Vice President – Senior Credit Officer, Moody's Investors Service; Frank Yuen, Vice President – Senior Analyst, Moody's Investors Service, and Soichiro Makimoto, Vice President – Senior Analyst, Moody's Investors Service.Hosts: Danielle Reed, Vice President – Senior Research Writer, Moody's Investors Service and Myles Neligan, Vice President – Senior Research Writer, Moody's Investors Service

In this episode, Dr. Lundy interviews three AAOS members who have different perspectives on the role of consolidation in the advancement of musculoskeletal care. Listeners will hear from them on the pros and cons of consolidation and learn more about how consolidation will influence future trends in the practice of orthopaedic surgery.  Additional links and resources: Podcast episode on "Repeal of Antitrust Exemption for Health Insurers": https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-15/ FAQ on consolidation: https://www.aaos.org/globalassets/advocacy/issues/faqs-on-hospital-consolidation.pdf AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center/ Guests: James W. Barber, M.D., Southeastern Orthopaedics; Frederic E. Liss, M.D., Rothman Orthopaedic Institute; Ronald A. Navarro, M.D., Kaiser Permanente  Host: Douglas Lundy, M.D., MBA, FAAOS, AAOS Advocacy Council Chair

America's largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country's biggest employers. What could go wrong?Join us for a wild, wonky journey into the world of third-party administrators.Guests:Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of TreasuryBrian Hufford, JD, Partner, Zuckerman Spaeder LLPKen Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retireeHave a look at more of Leslie's reporting on TPAs.Support this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

Steve Palma is the President of Medical Cost Solutions at Goodroot and we talk about what medical billing errors have to do with increasing healthcare costs. Steve also shines a light on hospital financial assistance programs and how they are not being used enough to help patients pay high medical bills. Steve provides some details, "Well, the billing errors include the cost of payers overpaying or underpaying claims, and the cost to the providers in billing correctly and then dealing with all the administrative headaches around audits by payers, and getting that claim ultimately right. These add a tremendous amount of administrative cost on both sides. It ends up getting passed to the consumer." "You'll hear some people on the health plan side say it's all abusive provider billing practices, whether it's fraud or potentially maximizing coding in a complex coding environment. On the provider side, often, they'll say it's health plans intentionally underpaying or playing their own types of games." "I think, over the years, what I've really come to conclude, is that, for the most part, people on the health plans and the providers are trying to do the right thing, from a coding perspective, but it's extremely complicated. So, the complication of the billing, the regulatory environment where payers have to pay those claims very, very quickly and get them out the door, it just causes an error on both sides, frankly." @Goodroot4 #goodroot #healthcare #healthcarereform #reinventinghealthcare #medicaldebt GoodrootInc.com Download the transcript here  

Steve Palma is the President of Medical Cost Solutions at Goodroot and we talk about what medical billing errors have to do with increasing healthcare costs. Steve also shines a light on hospital financial assistance programs and how they are not being used enough to help patients pay high medical bills. Steve provides some details, "Well, the billing errors include the cost of payers overpaying or underpaying claims, and the cost to the providers in billing correctly and then dealing with all the administrative headaches around audits by payers, and getting that claim ultimately right. These add a tremendous amount of administrative cost on both sides. It ends up getting passed to the consumer." "You'll hear some people on the health plan side say it's all abusive provider billing practices, whether it's fraud or potentially maximizing coding in a complex coding environment. On the provider side, often, they'll say it's health plans intentionally underpaying or playing their own types of games." "I think, over the years, what I've really come to conclude, is that, for the most part, people on the health plans and the providers are trying to do the right thing, from a coding perspective, but it's extremely complicated. So, the complication of the billing, the regulatory environment where payers have to pay those claims very, very quickly and get them out the door, it just causes an error on both sides, frankly." @Goodroot4 #goodroot #healthcare #healthcarereform #reinventinghealthcare #medicaldebt GoodrootInc.com Listen to the podcast here  

Rich discussed how the Biden Administration is having Health Insurance company's pay for the home testing kits that will be/are available to the public. Yet, insurers were left with little guidance on how to go about that process. 

Starting this weekend, the costs of at-home COVID-19 tests will be covered for people with private insurance or a group health plan. That means, if you have this kind of coverage and you go online or into a drugstore to purchase a test, the cost should be covered up front or via reimbursement. Guest: Krutika Amin, a Kaiser Family Foundation expert on the Affordable Care Act State prison officials are grappling with a surge in COVID-19 cases in their facilities as the omicron variant spreads. It's impacting both those who are incarcerated and prison staff. Reporter: Adhiti Bandlamudi, KQED  

The upcoming IRS processing delays, the new policy that health insurers are to cover at-home COVID tests, the universities being sued over potential admissions collusion, and the first man to receive a heart transplant from a pig. Let's be informed so we can get on with our day.Support the show (https://www.buymeacoffee.com/thenewsdiet)

US health insurers must cover over-the-counter home Covid-19 tests starting Saturday, the US Department of Health and Human Services announced Monday. No doctor’s order, prescription or office visit will be required, and the tests won’t be subject to copays or deductibles. Insurers will be required to pay for eight tests per covered person per month, either by covering the cost up-front or by reimbursing the insured person through a claim. There’s no limit on the number of tests that will be covered if a doctor or other medical professional orders or gives them after an office visit. “This is all part of our overall strategy to ramp up access to easy-to-use, at-home tests at no cost,” HHS Secretary Xavier Becerra said in the release. To learn more about how CNN protects listener privacy, visit cnn.com/privacy

Steve Price speaks to Private Healthcare Australia CEO Rachel David as Private Health Insurers try to justify another premium hike. See omnystudio.com/listener for privacy information.

America's largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country's biggest employers. What could go wrong? Join us for a wild, wonky journey into the world of third-party administrators.Guests:Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of TreasuryBrian Hufford, JD, Partner, Zuckerman Spaeder LLPKen Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retireeHave a look at more of Leslie's reporting on TPAs: https://bit.ly/3CEg6pESign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

President of the Center for Health and Democracy, Wendell Potter joins Thom to explain that healthcare insurers work for the shareholders and not the patient. This year, the federal government ordered hospitals to begin publishing a prized secret: a complete list of the prices they negotiate with private insurers. Four hospital associations jointly sued the government to block it, and appealed when they lost. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A senior medical specialist says patients are losing out as insurance companies use heavy-handed tactics to control what they can and can't receive from providers. Dr Dean Corbett is an Auckland based Ophthalmologist working in the public and private systems and also serves as Chairperson of Ophthalmology NZ.

Dean Ungar diagnoses the causes of US health insurers' evolution over the past decade, and discusses the benefits and risks for the sector's credit strength. Plus, Guy Combot and Atsi Sheth talk about recent changes in Italian bank governance and the broader credit implications of increased gender diversity.Inside this episode:Guy Combot and Atsi Sheth talk about recent changes in Italian bank governance and the broader credit implications of increased gender diversity. (begins at 2:12 mins)Dean Ungar diagnoses the causes of US health insurers' evolution over the past decade, and discusses the benefits and risks for the sector's credit strength.  (begins at 9:55 mins)Related content:Banks – Italy: New “fit and proper” board criteria will reinforce Italian bank governanceESG – Global: Rising focus on gender inclusion highlights links to economic growth and credit qualityHealth Insurance – US: Sector's evolution brings increased scale and diversification but also higher leverageAetna Inc., Anthem, Centene Corp., Cigna Corp., Humana Inc., UnitedHealth Group : Vertical integration: short-term credit pain, long-term credit gainHealth Insurance – US: Policy drive toward transformation of health insurance poses risks to profitability

How do health insurance companies avoid insuring more costly patients? What's a “trojan horse” when it comes to single-payer legislation? Does financing health care through an insurance system make sense? Join Dr. Stephen Kemble, practicing psychiatrist and past president of the Hawaii Medical Association, and Brenda Gazzar as they discuss one of the biggest challenges to winning Medicare for All in California - the popularity of HMO giant Kaiser Permanente.

How do health insurance companies avoid insuring more costly patients?  What's a “trojan horse” when it comes to single-payer legislation? Does financing health care through an insurance system make sense? Join Dr. Stephen Kemble, practicing psychiatrist and past president of the Hawaii Medical Association, and Brenda Gazzar as they discuss one of the biggest challenges to winning Medicare for All in California - the popularity of HMO giant Kaiser Permanente. 

How do health insurance companies avoid insuring more costly patients? What's a “trojan horse” when it comes to single-payer legislation? Does financing health care through an insurance system make sense? Join Dr. Stephen Kemble, practicing psychiatrist and past president of the Hawaii Medical Association, and Brenda Gazzar as they discuss one of the biggest challenges to winning Medicare for All in California - the popularity of HMO giant Kaiser Permanente.

Columbus Dispatch reporter Darrel Rowland speaks with Lisa Miller, a patient “navigator”, who helps patients navigate PBMs and health insurers to make they are getting the proper coverage that they deserve. This podcast was produced by Columbus Dispatch videographer Doral Chenoweth. See omnystudio.com/listener for privacy information.

In this episode of S&C's Critical Insights podcast, Frank Aquila, Global Head of M&A, and Keith Pagnani, co-head of our Healthcare & Life Sciences group, examine industry and regulatory trends related to health insurers that will shape healthcare M&A. Frank and Keith discuss the rise of vertical mergers in the healthcare industry and why this trend continues to accelerate. They also explore how the shift to a value-based care system under the Affordable Care Act is incentivizing the removal of siloes in the healthcare industry.

President for the Center for Heath and Democacy, Wendell Potter joins the show. See omnystudio.com/listener for privacy information.

For decades, health insurers have been exempt from antitrust laws and allowed to act as a monopoly setting rates and maximizing profits—until now. Enactment of new legislation removes the McCarran-Ferguson Act which has protected insurers since 1945 and now requires them to follow the same free-market rules as the rest of the health care industry. In this episode, we talk with an antitrust expert about why it took so long to repeal this unfair policy and how the new law will introduce more choice and opportunity into the marketplace. Hosted by: Kristen Coultas, AAOS Advocacy Communications Director and Catherine Hayes, AAOS Senior Director of Government Relations

  The Friday Five for January 8, 2021: Centene acquires Magellan Health Haven Healthcare is no more KFF COVID-19 Medicare Cost and Coverage FAQs Think Advisor Industry Predictions for 2021 Stimulus Relief Payment Issues & Recent Package Details   Mentioned in this episode:   5 Predictions for Life and Health Insurers for 2021 Buried in Pandemic Aid Bill: Billions to Soothe the Richest Centene Is Climbing on Its Plans to Buy Magellan Health for $2.2 Billion Centene to acquire Magellan Health in $2.2B deal FAQs on Medicare Coverage and Costs Related to COVID-19 Testing and Treatment Goodbye, Haven: The benefits industry reacts Haven, the Amazon-Berkshire-JPMorgan venture to disrupt health care is disbanding after 3 years Jeff Bezo, Jamie Dimon and Warren Buffett tried to solve health care. 3 years later, their company has shut down Ritter and Carrier Operations During the COVID-19 Pandemic ‘Status Not Available:’ IRS says these taxpayers won’t receive second stimulus check automatically The Second Stimulus Package: Here’s What’s Included What’s New on Netflix, Amazon, Hulu, Disney+, and More in January 2021 Why Haven Healthcare Failed   More episodes you’ll like:   Podcasts We’re Currently Listening To (Winter 2021) | The Friday Five We’re kicking off the first Friday Five episode of 2021 with podcast recommendations! Here are five podcasts that our host, Sarah is currently listening to.

(1) California’s Prop 22 & Prop 24 set a new tone for the gig economy and data privacy (0:41). (2) New H-1B visa rules make hiring foreign workers more expensive (5:40). (3) US health insurers (and hospitals) are forced to publicize their negotiated rates (10:26). Read this 3 Shifts Edition: https://6pag.es/m9rjl. Sign up to receive free summaries of our deeply researched briefs: 6Pages.com.Join 6Pages now as a Founding Member to lock in a $199/yr rate for life before our prices go up to $299/yr on November 20th! Founding Members also get exclusive privileges.USE CODE: FOUNDINGMEMBER859(exp. Nov 20 2020)https://www.6pages.com/join

Original publish date: October 21, 2020Inside this episode:Simon Ainsworth and James Eck of the Insurance team discuss the latest developments in global insurers’ efforts to assess and manage climate risk. ​​​​​(begins at 2:27)​​Stefan Kahandaliyanage of the Insurance team lays out the risks US health insurers face from a policy drive toward a public insurance option. (begins at 10:04)Related content:Health Insurance – US: Policy drive toward transformation of health insurance poses risks to profitability - Proposals to create a public health insurance option would likely reduce earnings at our rated companies to varying degrees, with more expansive options having a larger impact.P&C Insurance and Reinsurance – Global: Climate change risks outweigh opportunities for P&C (re)insurers - P&C (re)insurers have significant exposure to the economic consequences of climate change, including risks arising from catastrophe exposures, claims on liability policies, and investmentInsurance – Europe: Insurers increasingly engaged as ESG risks and opportunities come into focus - European insurers see environmental, social and governance (ESG) issues as an area of strategic focus, and expect them to have a moderately adverse impact on underwriting risk.Financial Institutions – Europe: BoE climate change stress tests will reinforce risk management for banks and insurers - Climate change stress tests are credit positive as they will help banks and insurers understand the consequences of climate change for their business, and support their risk management.Allianz, AXA, Swiss Re, Munich Re, Zurich: Retreat from coal reduces liability and stranded asset risk, a credit positive  - Major European (re)insurers are limiting their investment and underwriting exposure to coal. This protects them against climate change liability risk, and the risk of asset stranding.Moody’s Banking Series - ​​The Series digital program is free and offers exclusive interviews, thematic panel discussions and regional deep dives.​

After a brief reprieve in April, most health insurers are set to increase their premiums ((from Thu)). It means some policy holders could face two premium increases in the next seven months - a move criticised as 'out of touch' by consumer advocacy groups.In English : Rachel Cary ; In Tamil : Selvi - பெரும்பாலான Health Insurance தனியார் சுகாதார காப்பீட்டு கட்டணம் நாளை முதல் உயர உள்ளது. இது குறித்து ஆங்கிலத்தில் Rachel Cary எழுதிய விவரணத்தை தமிழில் தருகிறார் செல்வி.

It means some policy holders could face two premium increases in the next seven months - a move criticised as 'out of touch' by consumer advocacy groups.

(Jul 10, 2020) Health insurance companies regulated by the state are waiting to hear back about their requests for 2021 rate changes for premium holders. The companies, like nearly every other industry, face many uncertainties due to the COVID-19 pandemic, and their requests vary widely.

Why Health Insurers Won't Disclose Pricing by Ryn Melberg

The latest APRA figures show that nearly 10,000 Aussies dumped their coverage in the past three months.

The details of the PPP and EIDL programs are a little murky. Clark brings as much clarity as possible to a situation that is rapidly moving trying to help small businesses stay afloat during these difficult times. This article from the Wall Street Journal gives some important details on Paycheck Protection. You can also learn more on the SBA website about PPP here. And if you qualify for an EIDL, this is where you can apply for that relief loan. What happens if you can't pay rent? Clark tells you how to talk to your landlord and what rights you have right now. This USA Today article offers some important details on your rights as a renter right now. The three major health insurers are waiving individual health costs incurred due to Covid-19. Some welcome news in these troubled times. AirBnb is helping hosts cover their costs right now. It's a very different stance from the one VRBO is taking. Learn more about your ad choices. Visit megaphone.fm/adchoices

Join Jim and Greg as they cheer multiple health insurers easing up on deductibles, co-pays, and coinsurance over coronavirus. They also wince as the head of the Centers for Disease Control says it will take two years to fully defeat COVID-19. And they fume as the World Health Organization and others pretend Taiwan doesn't exist in order to appease China and, in the process, ignores one the most successful coronavirus mitigation efforts in the world.

*Prisons and the Coronavirus Pandemic: The Deadly Risks for Both Inmates and Staff Amy Fettig, Deputy Director of the ACLU’s National Prison Project in Wash., D.C. Producer: Melinda Tuhus * Health Insurers Decline to Support Coronavirus Fight, Resorts to Corporate Greed Wendell Potter, a former health insurance industry exec, turned whistleblower and author Producer: Scott Harris * Demands for Accountability Target U.S. Senators Accused of Coronavirus Market Crash Insider Trading Craig Holman, Public Citizens Capital Hill Lobbyist on Ethics Lobbying and Campaign Finance Rules Producer: Scott Harris

Crain's Senior Editor Chad Livengood speaks with WDET's Stephen Henderson about how Gov. Gretchen Whitmer and the Legislature's reforms of Michigan's auto insurance law are taking shape ahead of July 1, when the new law goes into effect.

Google’s parent company, Alphabet, has lifted the lid on YouTube’s financial numbers for the first time.The Australian Prudential Regulation Authority (APRA) has said that medium and small size health insurance companies in Australia could be gone in the next two years because their businesses aren’t up to scratch.Australian company Blundstone is celebrating its 150th birthday this year.---The content in this podcast reflects the views and opinions of the hosts, and is intended for personal and not commercial use. We do not represent or endorse the accuracy or reliability of any opinion, statement or other information provided or distributed in these episodes.

Dave talks with journalist Marshall Allen about his latest investigative piece for ProPublica, in which he uncovers a shockingly easy loophole that allows anyone - including people with criminal backgrounds - to send bills to your health insurance.  Some of the biggest companies, including Aetna, United and Cigna, pay 96-99% of bills automatically. And they lose millions of dollars to fraud each year.  Hear parts of the story that didn't make it on air: like the bizarre way one scammer finally got caught after he managed to charge insurance companies $25 million over the course of four years.

Join portfolio manager's Nathan Bell and Alex Hughes as they discuss A2 Milk, the big banks, the private health insurers, Flight Centre, Audinate, Swift Media and Elektro Optical Systems. 00:45 – Macquarie's impact on ACC's view of TPG/Vodafone merger 03:34 – Swift Media's falling share price 06:37 – Flight Centre's recent downgrade 10:04 – Stockopedia analysis of 245 downgrades of small UK stocks 12:24 – Elektro Optical Systems 15:47 – Private health insurers under ALP policy 20:05 – Audinate's revenue potential 22:25 – Bank funding costs 27:00 –  Placebos – A2 Milk and Blackmores

Clark discusses which companies have the best customer service across all sectors; Health insurers might be buying up data on you to know your health risks more fully; Clark talks about what parts of the country scams are most likely to occur in. Learn more about your ad choices. Visit megaphone.fm/adchoices

Health insurers face threats and limitations. But that doesn’t have to be a bad thing. As Senior Analysts Arielle Trzcinski and Jeff Becker explain, health insurers have an opportunity to redefine the member experience to boost satisfaction and engagement.

Health insurers face threats and limitations. But that doesn’t have to be a bad thing. As Senior Analysts Arielle Trzcinski and Jeff Becker explain, health insurers have an opportunity to redefine the member experience to boost satisfaction and engagement.

Bill Hendrickson and I discuss the most important healthcare questions, promises and projections for 2019.  From the ACA to current challenges such as pre-existing conditions and rising healthcare payments, Bill's insight from present professional association and many years of experience with Health Insurers provoked a compelling interchange. We analyzed what may happen if the ACA continues to lose federal support as well as the potential of states like North Carolina to adopt Medicaid expansion. What consequences will we face?  Will our leaders truly take the steps needed to address our citizens' need for health insurance?  What about health insurance for all.  Could an A, B, & C options plan (similar to Medicare) that incorporates private insurers work?

Welcome back to the PNC podcast. My timetable for the podcast prep this week was a little compressed because I spent 2 days attending the 15th Annual SEAK Non-Clinical Careers for Physicians Conference. And that put me a little behind. I recorded my observations during the conference, and I’m going to share those with you today. I wouldn’t ordinarily spend an entire episode promoting a conference, which is what this might sound like. However, many of you have asked about the conference, and I believe it’ll be helpful to tell you more about it. Some of you may need a little more information to help you decide whether to attend next year. To be clear, I have no affiliation with SEAK. And I registered and paid to attend just like everybody else. But this is the only meeting of its kind that presents an overview of career options for physicians. The SEAK meeting has two other unique features. 30 to 40 physicians working in nonclinical careers, including career coaches, meet with attendees in 15-minute appointments to provide advice and answer questions about nonclinical options. A small number of employers interested in recruiting physicians to nonclinical jobs attend the conference to answer questions and set up interviews. The SEAK staff confirmed that the conference continues to grow, with attendance easily exceeding last year’s. I estimated that there were well over 400 physicians at the meeting. In addition to attending the individual sessions, and catching up with friends, it was fun to speak with physicians at the meeting, to hear their stories. For example, I had a chance to chat with a physician while waiting for the first plenary session to begin. I’ll call him Robert to maintain his anonymity. He appeared a bit somber, as he explained how he lost his license and had been unable to practice while involved in litigation to recover it. His efforts were unsuccessful, so he decided to attend the meeting to learn about nonclinical careers he might pursue. Since I had attended last year’s meeting, I gave him advice to help him optimize his time at the meeting. I caught up with him later to see how things were going. I’ll describe his comments in a few minutes. I was impressed by the enthusiasm and optimism that many of the attendees expressed by the end of the meeting. At lunch on Sunday, I spoke with three physicians who were all very hopeful. An anesthesiologist nearing retirement was intrigued with becoming an expert witness. He could slowly build such a career part time while winding down his clinical activities. The others at the table had identified several leads on careers they were going to evaluate further. I spoke with a pediatric physiatrist at one of the breakout sessions. She was only a year into her clinical career. She found it unfulfilling and was considering several nonclinical alternatives. I was also pleasantly surprised that three physicians recognized me and told me that they enjoyed this podcast. That really helps motivate me to continue. They also gave me helpful feedback and ideas for future episodes. I ran into “Robert” several times during the conference, and each time he seemed very positive and more optimistic. When I asked him how things were going, he responded “fantastic” with a big smile on his face. There were too many take-aways to list them all, but a few stood out for me. The presenters and mentors all expressed a great deal of hope and optimism. In just 2 days, we heard about more than 25 potential nonclinical careers or part-time jobs. Many presenters emphasized the importance of networking when pursuing a new position. Several also mentioned the importance of maintaining a complete, professional-looking LinkedIn profile. Pharmaceutical companies have multiple categories of nonclinical career opportunities – with variations in desired educational background, travel requirements, and ability to work from home. Consulting, medical writing, and work as a medical science liaison are definite possibilities if you’re a foreign medical graduate or are not residency trained or board certified. Utilization reviewers are needed by hospitals, Independent Review Organizations and Health Insurers, and previous experience is often not required. Telemedicine can be a great job to meet your needs if you prefer to work at home, or as a bridge during your transition from clinical to nonclinical work. There is a growing demand for medical directors and chief medical officers in the field of hospital and health system Quality Improvement. I could go on, but you get the idea. There is an ever-expanding need for physicians willing and able to take on these and many other nonclinical careers. Attending the SEAK Annual Conference is one way to learn about those careers, while obtaining mentoring and exploring employment opportunities. Ths show notes can be foudn at https://vitalpe.net/episode057

Using cannabis to treat MS symptoms has become a hot topic. And thanks to social media, a lot of opinions about cannabis and MS are posted as if they're facts...and that's not always the case. So, we're talking about cannabis and MS in this episode of RealTalk MS. We'll try to demystify it a bit and we'll give you an idea of what some of the research is telling us. We'll talk about which MS symptoms cannabis might be good for...and which ones it might not be good for.     We're also talking about the latest reason that your health insurance premium is likely to rise in 2019 in the U.S., we'll walk you through "Clinical Trials 101" and explain what each phase of a clinical trial is really all about, and we'll give you the latest update on Ocrevus being rejected as a treatment for PPMS in the U.K. We have a lot to talk about! Are you ready for RealTalk MS? ____________ U.S. Suspends Payments to Health Insurers  1:47 Everything You Always Wanted To Know About Clinical Trials  8:25 Clinical Trial to Track Urinary Symptoms in MS Is Recruiting Participants  15:05 NICE Rejects Ocrevus for PPMS  16:47 Cannabis & MS  19:04 ___________ LINKSIf your podcast app doesn’t show these links, you’ll find them in the show notes at www.RealTalkMS.com U.S. Suspends Payments to Health Insurers Become an MS Activist National MS Society Brochure on Participating in a Clinical Trial ClinicalTrials.gov Sample Urinary Symptoms & MS Clinical Trial Survey Cannabis Use in People with Parkinson's Disease and Multiple Sclerosis: A Web-Based Investigation National MS Society Research Paper on Cannabis & MS AAN Guidelines for Medical Marijuana Real World Experience of Medical Marijuana in Symptomatic Management of Multiple Sclerosis and Transverse Myelitis Cannabidiol to Improve Mobility in People with MS Knowledge and Attitudes of Australian General Practitioners Towards Medicinal Cannabis: A Cross-Sectional Survey Give RealTalk MS a Rating & Review ___________ Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 43 Hosted By: Jon Strum Tags: MS, MultipleSclerosis, MSResearch, Ocrevus, ACA, ProtectOurCare, MSActivist, CannabisandMS, Cannabis, RealTalkMS

It’s easy to get frustrated as medical costs continue to rise and sometimes get confused about who plays what role in the healthcare system. In this edition of Blue Promise, Shara McClure, Divisional Senior Vice President of Texas Health Care Delivery, explains the value that health insurance brings to your experience. Blue Promise is an online video blog that aims to address complicated health issues with candid conversations from subject matter experts. New editions are published regularly and are hosted by Dr. Dan McCoy, President of Blue Cross and Blue Shield of Texas.

Why you shouldn't be afraid to publicly admit your mistakes, how Netflix brought fun to its required communications, and how you can harness the power of positive feedback. Bite-Sized Delight From the Episode: Great customer service starts with leadership. Having fun with required communications can buy you a lot of good will. Experiential marketing helps customers understand your value by trying it for themselves. Are You Looking for Things We Referenced? Episode 9 - How Restaurants, Health Insurers, and Nike Make R Billionaire Elon Musk responds to unhappy Tesla customer on a Friday night, teaching a brilliant lesson in customer service Netflix Ends Unauthorized 'Stranger Things' Bar With A Super Classy Letter Principles by Ray Dalio Sleepless Over Customer Experience: Small Business Leaders Top Sales and Service Concerns and How to Fix Them Get more resources and the full show notes at http://ExperienceThisShow.com. See you next week!

On this episode of the Experience This! Show, Dan Gingiss & Joey Coleman look at everything that goes into providing an exceptional customer experience, from making a positive impact when your customers contact support to the crucial element of face time with customers for each member of your organization. Bite-Sized Delight From the Episode: All employees can benefit from dealing with customers. Be clear about what you can and can’t do and manage expectations. Your customer experience is being compared to everyone, not just companies in your industry. Are You Looking for Things We Referenced? Episode 9 - How Restaurants, Health Insurers, and Nike Make Remarkable Experiences Network Health Wisconsin on Twitter The Outsized Impact of Invisible Service Providers Understanding Health Insurance The 5 9 Customer Service Index Get more resources and the full show notes at http://ExperienceThisShow.com. If you like what you hear, please subscribe!

We look at everything that goes into providing an exceptional customer experience, from making a positive impact when your customers contact support to the crucial element of face time with customers for each member of your organization. Bite-Sized Delight From the Episode: All employees can benefit from dealing with customers. Be clear about what you can and can’t do and manage expectations. Your customer experience is being compared to everyone, not just companies in your industry. Are You Looking for Things We Referenced? Episode 9 - How Restaurants, Health Insurers, and Nike Make Remarkable Experiences Network Health Wisconsin on Twitter The Outsized Impact of Invisible Service Providers Understanding Health Insurance The 5 9 Customer Service Index Get more resources and the full show notes at http://ExperienceThisShow.com. See you next week!

This week, the top managed care news included a new proposal from CMS that insurers warn will cause confusion; a new review examines the prevalence and cost of chronic conditions in Medicaid; and a study finds 42% of all new US cancer cases in 2014 were due to potentially modifiable exposures. Read more about the stories in this podcast: Health Insurers to CMS: Your Changes Will Confuse Consumers, Hurt Markets: www.ajmc.com/newsroom/health-insurers-to-cms-your-changes-will-confuse-consumers-hurt-markets Identifying the Most Prevalent and Costly Chronic Conditions in Medicaid: www.ajmc.com/newsroom/identifying-the-most-prevalent-and-costly-chronic-conditions-in-medicaid Leading Diabetes Groups Publish Consensus Statement on "Beyond A1C" Measures to Guide FDA, Researchers: www.ajmc.com/newsroom/leading-diabetes-groups-publish-consensus-statement-on-beyond-a1c-measures-to-guide-fda-researchers Significant Amount of Cancer Cases Attributable to Potentially Modifiable Risk Factors: www.ajmc.com/focus-of-the-week/significant-amount-of-cancer-cases-attributable-to-potentially-modifiable-risk-factors Impact of Health Reform on Young Adult Prescription Medication Utilization: www.ajmc.com/journals/issue/2017/2017-vol23-n11/impact-of-health-reform-on-young-adult-prescription-medication-utilization

What In the Health Is Going On?   Republicans have been laboring for reforms to health care since President Trump was elected, and have repeatedly failed -- often in dramatic fashion. President Trump made two huge announcements to change the way healthcare looks moving forward. The government announced they are:   1. Opening More Healthcare Options for Individuals and Businesses.   2. Ending Subsidy Payments to Health Insurers.   **How Does This Impact You? ** The foundation of the Affordable Care Act ("Obamacare") is rooted in everyone "paying in" to keep costs manageable. Suddenly, the exit sign is on for the "healthy" to shop cheaper options, which means the price for the sick, or those with pre-existing conditions, may skyrocket.  If you are young or healthy MAKE SURE YOU LOOK AT ALL YOUR OPTIONS. Costs will be higher through a traditional exchange, but there are some creative, competitive options we discuss on the show (Listen in at 15:20). If you have a significant pre-existing condition, you should make plans to find the best coverage fit that suits your needs and matches your budget. I would love to talk with you about how to be prepared for pricing that will likely come in 2019 and beyond. If none of this applies to you because you receive your insurance through your employer, don't tune out just yet! Make sure you know whether a traditional policy or a high deductible health plan is better for you; I discuss the primary differences in the last segment of the podcast.  Listen to The Full Show: Get the full picture on what these changes mean to you, your family and your wallet for the upcoming years. More healthcare reform may come, and we will be here to help you make the best decision for your life.   Key Quotes: "Why is it that health insurance companies always come out immediately against any changes to Obamacare? Health insurance companies stocks have shot through the roof! They have destroyed the S&P 500."> "Costs have to go up and it falls on the folks paying premiums in the exchanges."  > "Even if a creative option will save you money, it might be better for you to choose a traditional plan if you aren't willing to handle a little extra work."   Get An Answer to My Situation Now   A GREAT LINK To LEARN MORE: It’s Open-Enrollment Time: What Health Plan Should I Pick?  

Health Insurers should be offering insurance that covers primary care, Paolucci argues. www.shutterstock.comAustralia’s private health insurance industry has come under scrutiny over what is covered by the products it sells, how it sells them and high premiums. This all means consumers are left questioning the value of buying health insurance, says Associate Professor Francesco Paolucci, head of the health policy program at Murdoch University. Paolucci argues all of this is a symptom of the way Australia’s health insurance system is set up. The government uses various incentives, including the the Medicare levy surcharge, to encourage people to use health insurance even though Australians already have universal health care coverage. However, this means people are choosing to purchase private insurance based on tax incentives rather than exposure to health risks. Another structural distortion is created by community rating regulations, where individuals pay the same premium for same product of the same insurer, regardless of their risk profile. He says while this is well-intentioned, it encourages insurers to market and provide products to low risk customers while discouraging high risk customers. What’s the alternative? Paolucci says insurers should be allowed to offer insurance for primary care (including general practice) and more importantly the system needs to change in response to health policy shifts to treat the growing number of people with chronic health conditions.

Exelixis has a newly approved melanoma drug hitting the market soon and Colorado voters will weigh in on universal healthcare in 2016.

The new health care landscape is fueling consolidation for hospitals physicians groups -- and now insurers. So who are the winners and losers? See acast.com/privacy for privacy and opt-out information.

Rumors that major health insurers are reportedly courting one another could shake up the health insurance industry. Motley Fool's Michael Douglass and Todd Campbell consider what could be behind industry consolidation.

1 - 2016 poll stuff. 2 - ABC News correspondent Ryan Burrow reports on health insurers wanting to hike their rates. 3 - Marshall's News. 4 - Christie said "You can't enjoy your civil liberties in a coffin"; Jack doesn't like watermelon.

Detected cyber security incidents in healthcare are rising at double the rate of other industries. Thomas Sonderegger and Nikhil de Silva of PwC Australia discuss the Global State of Information Security Survey 2015. 

Did you make more money in 2009 than in any other year of your life? I doubt it! In these financial times, most American's would have to say, "No." Most companies had problems in 2009, and some large corporations and banks even had to be bailed out by the government. Well, in today's podcast I present information from an article that came across my computer that shows how 4 out of the 5 major health insurance companies made more money in 2009 than the year before. The one company that did not make more money still profited quite nicely. It seems clear to me that these companies are not out to protect the public's needs. They sell themselves as being there to help the public, but, in reality they are like any other company that is oriented toward making a profit for their stock holders and CEO's. Regardless of your position on the question of universal health insurance in America, this information should make you question if health insurance companies need to be better regulated and whether these companies need to be investigated for their practices. Listen and you decide.

Guest: Karen Ignagni, MBA Host: Bruce Japsen If America is going to cover more uninsured once and for all, the companies already providing coverage are likely to have a role in how Congress and the next President formulate an expansion of health benefits for all Americans. Karen Ignagni, President and CEO of America's Health Insurance Plans, the lobby and trade association for the health insurance industry, tells the Chicago Tribune's Bruce Japsen about managed care's work with doctors and policy-makers on covering the uninsured.

Guest: Dan Hounchell Host: Leslie P. Lundt, MD Dan Hounchell explains how to negotiate contracts with health insurers and avoid the take it or leave it mentality that health insurers present to doctors in regards to contracts.