Health Care Reform

 

A Look Inside Our 2015 Rates: What They Mean for Our Individual Customers Under Age 65

A Look Inside Our 2015 Rates: What They Mean for Our Individual Customers Under Age 65

Every year, we inform our individual customers about their premium rates for the coming year with a letter. As our company’s managing actuary, I want to take a moment to explain what went into determining 2015 premiums so you have a better understanding when you receive that letter. Now, before I dive into this post, […]
ACA 2015: What You Need to Enroll

ACA 2015: What You Need to Enroll

The ACA 2015 Annual Enrollment Period doesn’t begin until November 15, 2014, but now is the perfect time to start gathering the information and documents you’ll need for 2015 coverage. Whether you’re enrolling for the first time, renewing a policy, recalculating your subsidy, or just browsing, you’ll need some basic information to get started. Healthcare.gov […]
The Health Care Sweet Spot: Health Plans That Help You Find It

The Health Care Sweet Spot: Health Plans That Help You Find It

Consumer Reports‘ annual health plan rankings came out two weeks ago. While that certainly gets some attention each year, there’s a new section that warrants a closer look if you’re interested in the costly problem of unnecessary medical treatment. The consumer magazine’s assessment of 507 private health insurance plans now includes a category called “Avoiding […]
Open Enrollment 2015: Dates to Know

Open Enrollment 2015: Dates to Know

It’s hard to believe that almost a year has passed since the Affordable Care Act went live and Open Enrollment 2014 began. And now we’re headed into Open Enrollment 2015. What’s Open Enrollment? Good question. Basically, it’s when you’re able to choose a health insurance plan on the Exchange for 2015. If you miss Open […]
Navigating In-Network and Out-of-Network Charges

Navigating In-Network and Out-of-Network Charges

Whether you’re signing up for a health plan, searching for a doctor or just checking to see if you owe anything, the terms “in-network” and “out-of-network” are bound to pop up. And sooner than you might expect. With open enrollment around the corner, keep this in mind: Know your network. It’s important because most of […]
How Will the Future of Health Care Be Different from the Present?

How Will the Future of Health Care Be Different from the Present?

Imagine a future where you — the health care consumer — are truly in charge of your care. Where you have the information you need to make smart decisions. And where you shop for health services the way you’d shop for a new car or hire an electrician. Is this a safe prediction for health […]
Why Are Some Insurers Issuing Rebates?

Why Are Some Insurers Issuing Rebates?

It might seem like a nice surprise to get a check in the mail that you weren’t expecting. But if that check comes from a health insurer, you might want to think about whether it really is a good deal. The Affordable Care Act requires individual and group health insurers to publicly report their medical […]
Health Care Fraud: The $80 Billion Crime

Health Care Fraud: The $80 Billion Crime

In a nation that spends a few trillion dollars a year on health care, there are bound to be some who try to take advantage of the system for their own gain. After all, it’s just a drop in the bucket, right? Wrong. These fraudulent actions have a big and expensive impact. In 2013, the FBI estimated that health care fraud costs the U.S. $80 billion every year. Other estimates..
Another Private Exchange Opens for Business in NC

Another Private Exchange Opens for Business in NC

Get ready for more options when it comes to choosing your annual health benefits. BCBSNC is launching its first private exchange for North Carolina employers with at least 51 employees. Beginning Sept. 1, the exchange lets employers select up to four different medical plans to offer their employees from a menu of 18 plan options. […]
Sticker Shock: The Impact of Hidden Medical Costs

Sticker Shock: The Impact of Hidden Medical Costs

Our inability to compare cost and quality information means there isn’t a way to keep prices in check. Without checks and balances, all of our medical costs rise.