Missouri’s biggest health insurance company is required to pay nearly $90 million in rebates to its customers.

Missouri Insurers Must Issue $90 Million in Refunds The largest insurers in Missouri are required to reimburse policyholders around $90 million. Ambetter, a subsidiary of Centene Corporation, based in Clayton, is expected to send out checks totaling $87.5 million to Missouri customers. These rebates will be in line with the medical loss ratio guidelines set […]
Montana woman with a broken arm and no insurance faced a $97,000 bill.

Deborah Buttgereit’s Unexpected Medical Journey When Deborah Buttgereit collapsed outside her home in Bozeman, Montana, she immediately realized that a trip to the hospital was unavoidable. “I could hear my bones moving in my elbow,” recalled the 60-year-old after slipping on ice last December. An emergency room scan revealed significant damage to her left arm […]
WakeMed becomes part of Triangle health organizations advocating for a new agreement with insurance companies.

Wakemed Patient Coverage at Risk with UnitedHealthcare Negotiations Wakemed issued a warning on Wednesday about the potential loss of coverage for patients who rely on UnitedHealthcare for their insurance if the two parties can’t come to a contract agreement. The healthcare provider had entered into a contract with UnitedHealthcare in 2022, which is set to […]
Private health insurance companies are using AI to decide on care approvals and denials. Medicare is expected to do the same soon.

Medicare Pilot Program to Utilize AI for Pre-Authorization The Trump administration is set to initiate a program next year aimed at assessing how artificial intelligence can help save costs by denying certain Medicare services. This initiative reflects an approach similar to that of private insurance companies. The pilot program intends to cut down on what […]
New federal regulations mandate $1 billion in customer refunds from Missouri’s largest health insurance provider

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Here’s how to receive a COVID-19 booster and have your insurance cover the cost.

Drugstores Prepare for Covid-19 Vaccine This Fall Drugstores are gearing up to provide the latest Covid-19 vaccine this fall, and it seems insurance companies will still cover the costs, even if major health organizations don’t necessarily recommend it anymore. On Friday, a vaccine advisor appointed by Health Secretary Robert F. Kennedy Jr. refrained from endorsing […]
What will health insurance in Pennsylvania cost in 2026? Pennie users prepare for a rise

Without an extension of the enhanced tax credits for the Affordable Care Act, average costs for plans on penny exchanges could increase by over 80%. The potential expiration of enhanced tax credits may significantly raise health insurance costs for many. If Congress does not act, these costs are anticipated to surge, possibly affecting coverage for […]
Health insurance premiums may increase by over 80% next year.

Health Insurance Premiums Set to Soar in 2024 Next year, health insurance premiums for Americans are expected to rise sharply as the expiration of the Affordable Care Act (ACA) tax credits looms. These credits were initially implemented to help cope with the financial strain of the Covid-19 pandemic. A recent analysis from two nonprofit organizations […]
Insurance company will cease providing Affordable Care Act plans in 11 counties in Wisconsin

Changes to Health Insurance Coverage in Wisconsin Health insurance providers are set to discontinue personal and family plans through the Affordable Care Act market in 11 counties across Wisconsin next year. This change will affect approximately 24,000 individuals, who will need to seek new coverage options. The General Ground Healthcare Cooperative plans to exit the […]
The pandemic is finished — it’s time for Biden’s health insurance support to end.

Debate Over Health Insurance Tax Credits Ronald Reagan once noted that “nothing lasts longer than a temporary government program.” This sentiment feels particularly relevant today regarding tax credits enhanced by former President Joe Biden’s Affordable Care Act. The crisis related to the pandemic tapered off two years ago, but Biden’s additional support—introduced by a Democratic […]