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Displaying items by tag: Michigan Association of Health Plans

Monday, 27 June 2022 12:45

New state law aims to boost competition for health insurance as large employers seek coverage for workers

Gov. Gretchen Whitmer has signed legislation that is designed to better enable large employers to bid out their employee health coverage.

Published in Health Care
Sunday, 07 November 2021 18:30

Report: Michigan ranks nearly last in U.S. for health insurance competition

Michigan now ranks as the second-least competitive market in the nation for health coverage, a status that stems from Blue Cross Blue Shield of Michigan’s long-held position as the leading insurer in the state.

Published in Health Care
Sunday, 01 August 2021 17:24

Physician, health plan advocates optimistic about prior authorization reforms

Supporters are hopeful that a statewide bill to alter the process of doctors seeking prior authorization from insurers for patient care will become law this fall.

Published in Health Care

Thursday, 25 March 2021 15:14

Business coalition says health care legislation will drive up costs for employers, do ‘more harm than good’

A coalition of Michigan business groups is urging state senators to reject legislation that they claim will drive up the cost of health coverage for small employers.

Published in Health Care
Sunday, 14 February 2021 18:30

Rising prescription drug costs likely to be revisited in Lansing

On the surface, the position appears completely counter to what a business organization would typically advocate.

Published in Health Care
Sunday, 22 November 2020 19:05

HMO group lays groundwork for medical claims data legislation

As reports continue to rank Michigan as one of the least competitive markets in the nation, the statewide trade group representing HMOs wants to ensure that insurance carriers are able to pursue business when employers bid out employee health coverage.

Published in Health Care

Friday, 30 October 2020 13:09

Average health insurance rates slightly higher as open enrollment starts Nov. 1

Health insurance open enrollment for 2021 starts Nov. 1 with small increases in rates for individual and small employer health care policies.

Published in Health Care
Tuesday, 13 October 2020 16:41

State lawmakers pass surprise medical billing legislation

State lawmakers have given final approval to bipartisan legislation that aims to curtail surprise medical billing in Michigan, sending the bills to Gov. Gretchen Whitmer.

Published in Health Care
Sunday, 13 September 2020 17:23

Michigan’s surprise billing legislation attracts national attention

Alegislative effort to curtail surprise medical billing in Michigan has gained attention from national health care organizations shifting their focus to states amid stalled efforts federally.

Published in Health Care

Sunday, 05 July 2020 17:02

Physicians group argues state surprise billing legislation offers ‘one-sided solution’

Bills to curb surprise medical billing in Michigan move forward in Lansing without the backing of physicians, who worry the proposed changes in state law would put them at a disadvantage when negotiating future reimbursement contracts with health insurance carriers.

Published in Health Care
Tuesday, 12 May 2020 14:14

Priority Health plans rate cuts for June and July

GRAND RAPIDS — Citing lower medical claims and utilization rates during the COVID-19 pandemic, Priority Health plans to provide temporary rate reductions to employers and individual policyholders.

Published in Health Care
Friday, 21 February 2020 14:29

Whitmer creates task force on prescription drug prices

Gov. Gretchen Whitmer today formed a task force that will look at how to lower the cost of prescription drugs in Michigan.

Published in Economic Development

Sunday, 16 February 2020 19:10

Legislation would enshrine key provisions of ACA in state law

Core elements of the federal Affordable Care Act could become state law if legislators in Lansing enact proposals backed by Gov. Gretchen Whitmer.

Published in Health Care
Sunday, 03 November 2019 14:52

Advocates back bill to curtail prior authorization by health insurers

Believing the pendulum has swung too far and often results in delays for patient care, physicians want state legislators to curtail the ability of health insurers to require prior authorization to cover a medical test, procedure or medication.

Published in Health Care
Sunday, 15 September 2019 16:30

Legislation targets surprise medical billing

Legislation coming up for consideration in Lansing aims to alleviate so-called “surprise billing” in health care.

Published in Health Care

Sunday, 23 December 2018 16:12

Crystal Ball 2019 Health Care Outlook: Transparency, escalating drug costs among top issues for 2019

Health care goes into 2019 facing many of the same issues and trends that have been driving industry change in recent years: the movement to value-based contracting, more use of telemedicine, growing concerns about cybersecurity, and greater price and cost transparency for consumers.

Published in Health Care
Saturday, 04 August 2018 15:17

Stability emerges in Michigan’s small group insurance market

Health insurance premiums for many small employers would dip in 2019 under rate proposals filed with state regulators.

Published in Health Care
Sunday, 07 January 2018 00:34

Michigan ranked sixth least competitive health insurance market in AMA report

Health coverage from Blue Cross Shield of Michigan maintains a dominant hold in most markets across the state with the exception of Priority Health’s home base.

Published in Health Care

Sunday, 17 September 2017 12:31

REPORTER’S NOTEBOOK: Practicality, not politics, needed to fix ACA

Dominick Pallone considers it a hopeful sign that the debate over health care in America seems to be moving beyond political rhetoric and ideology.

Published in Health Care
Sunday, 23 July 2017 14:13

Cost should take center stage in health care debate, executives say

Federal lawmakers need to focus on what’s driving health care costs in America that in turn contributes to the rising cost of health coverage.

Published in Health Care
Sunday, 26 March 2017 15:51

With GOP bill dead on arrival, Michigan health care industry insiders push for tweaks to ACA

Now that the Affordable Care Act will remain the law of the land, Dominick Pallone would like to see Congress and President Trump work to improve the federal health reform law.

Published in Breaking News

Sunday, 25 December 2016 16:52

‘Like defusing a bomb:’ Affordable Care Act likely to change, but extent and timing remain uncertain

No matter whether you love or hate the Patient Protection and Affordable Care Act, what’s become clear is that 2017 will bring major changes to the federal health care reform law.

Published in Economic Development
Sunday, 18 September 2016 16:26

Grand Valley Health closes down HMO business

GRAND RAPIDS — Grand Valley Health Corp.’s decision to get out of the HMO business follows continued losses and years of dwindling membership, combined with pressures brought on by the federal Affordable Care Act.

Published in Health Care
Sunday, 07 August 2016 13:08

In first full year under state Medicaid expansion, HMO underwriting income spikes 83 percent

An analysis of 2015 financial information shows the state’s expansion of Medicaid under Obamacare drove strong profits for one sector of the Michigan economy: health management organizations (HMOs). 

Published in Health Care

Sunday, 06 March 2016 15:05

Health care groups prioritize insurance claims assessments, funding issues

Medicaid and funding issues dominate the health care agenda in 2016 for advocacy groups in Lansing.

Published in Health Care