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The lawsuit filed in federal court in South Florida alleges that large call centers were used to enroll people into Affordable Care Act plans or to switch their coverage, all without their permission.
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The contracts will involve tens of billions of dollars in the coming years, with about 3.45 million people receiving health care through the managed-care system as of February
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A first-of-its-kind survey of Medicaid enrollees found that nearly a quarter who were dropped from the program in the last year’s unwinding say they’re uninsured.
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The first six digits of Social Security numbers are now masked on the ACA federal site and direct enrollment partner platforms. The change comes after a report of enrollee plans being switched without consent.
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Federal and state regulators are mulling what they can do to thwart the growing problem. Rogue health insurance brokers are switching consumers' plans without permission and collecting the commission.
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Rogue insurance agents access consumer information on the federal marketplace and make the changes. Policyholders can lose their doctors and end up owing back taxes.
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Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are stuck in the middle, but there’s a way out.
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In Florida, providers may be down as much as $1 billion in payments as a result of the ransomware attack at Change Healthcare, a company that essentially allows providers to get paid.
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Drugmakers offer copay assistance programs to patients, but insurers are tapping into those funds, not counting the amounts toward patient deductibles. That leads to unexpected charges. But the practice is under growing scrutiny.
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Mary Mayhew, president and CEO of the Florida Hospital Association, said the group has over 100 hospitals that directly contract with Change Healthcare, the target of the cyberattack.