Health Insurance

A Colorado plan to dramatically lower health insurance prices for some now awaits federal approval

The Colorado Sun explains how the propose State reinsurance system will work.  A Colorado plan to dramatically lower health insurance prices for some now awaits federal approval Here are five numbers to better understand the reinsurance program, which would help people who buy health coverage on their own The state assists insurance companies with claims […]

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No Short Term Plans in Colorado. Options?

The Colorado Division of Insurance effectively regulated short term plans out of Colorado on April 1. Here is their press release: Updated regulation to govern short-term health plans in Colorado. Are there other coverage options available? It turns out there are and you can read about this in this article – If I can’t buy […]

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How Summit County residents, fed up with high health care prices, banded together and negotiated a better deal

The newly formed Peak Health Alliance negotiated rates with the local hospital – How Summit County residents, fed up with high health care prices, banded together and negotiated a better deal The Peak Health Alliance was able to get its local hospital to lower prices by 20%. Colorado officials hope it can become a model for […]

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Kaiser Leaving Eagle and Summit Counties

As reported by the Vail Daily, Kaiser will be not offering coverage in the individual market for 2020 in Eagle and Summit counties. Kaiser serves approximately 4,400 members in Summit and Eagle counties, less than 5 percent of the Eagle/Summit County market and less than 1 percent of Kaiser’s total membership in Colorado, Whited said.“We […]

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Law Places Dollar Limits on Insulin Copays

9 News – New Colorado law caps insulin copays to $100 a month For Coloradans living with Type 1 Diabetes, insulin is essential to their survival. It is the same as oxygen. The skyrocketing cost of insulin is outrageous and it is literally putting people’s lives at risk,” said Roberts. “With this new law, Coloradans will […]

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ACA Plans: High Claim Denial Rates

A study from the Kaiser Foundation, not to be confused with Kaiser health insurance, shows an average of 19% of initial in-network claims are denied in the individual market. Very few denials are appealed and only 14% of appeals result in a change in the claim results… In this report, we analyze transparency data released […]

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2019 Preliminary Rate Increase are Here!

The Division of Insurance just released the average rate increases for the individual health insurance market in 2019. You can view the release here. For 2019 individual plans, the average premium increase request is 5.94 percent across all companies and metal levels. The rate increases are not uniform across plan categories… Looking closer, the requested […]

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Bright Health, from ex-UnitedHealthcare CEO Bob Sheehy, financials

A young innovative company – Start-up health insurer led by former UnitedHealthcare CEO is off to a good start, filings show | CNBC Bright Health competes with Oscar Health and other start-up insurance plans. It has raised more than $240 million from technology and health investors. New filings show how it fared in its first […]

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What will be the Coverage Periods for Short Term Plans?

They’re talking about Short Term major medical plans – Should Health Plans Comply With Obamacare? States Are Deciding | Bloomberg Law Starting in April (or so) of 2017 the duration of Short Term plans was limited to 3 months by the Federal Government. Prior to that time, in many states they could last 11 months […]

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Expect Significant 2019 Obamacare Premium Hikes

Yikes, more bad news for the individual insurance marketplace – Top insurance official warns of coming ObamaCare premium hikes | TheHill Insurers have warned that premiums could increase by nearly 30 percent for ObamaCare plans, although many people receive subsidies that shield them from those increases. The hardest-hit are people who make too much income […]

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