health insurance

The Pulse
2:29 pm
Fri May 9, 2014

More Medicaid Enrollees: It's Not Just About The Money

As you may know, far more Rhode Islanders signed up for Medicaid than expected recently. And the state is on the hook for millions more dollars than anticipated to care for them. The federal government is picking up the tab for now for people who became newly eligible for the program under the Obamacare Medicaid expansion, which Rhode Island opted to accept (unlike some other states). That allowed childless adults, men and women, earning less than a certain amount a year, to get health insurance, some perhaps for the first time.

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Health Care
11:33 am
Wed April 30, 2014

Rx Drug Monitoring, Insurance Coverage For Addiction Bills Clear Senate Hurdle

Bills aimed at curbing drug addiction and overdose passed in Senate committee.
Credit Aaron Read / RIPR

A state senate committee has recommended passage of two bills aimed at curbing prescription drug and heroin abuse.

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The Pulse
2:42 pm
Thu April 24, 2014

In Network, Out-Of-Network: What It Means, Why It Matters

When it comes to health insurance, "in-network" means a provider or facility that's contracted with your insurer to provide services at an agreed-upon rate. "Out-of-network" means a provider or facility that doesn't have an agreement with your insurer. Whether in-network or out-of-network providers and facilities are covered, and to what extent, depends on your particular health insurance plan.

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Health Care
1:59 pm
Thu April 24, 2014

United Healthcare, Landmark Await Ruling On Network

Landmark Medical Center in Woonsocket is only a few months into its new chapter as a for-profit hospital.
Credit Kristin Gourlay / RIPR

The public comment period has ended and now the Rhode Island health department must decide whether United Healthcare can cut Landmark Medical Center from its insurance network. The decision could affect thousands of patients.

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Health Care
9:17 am
Mon April 14, 2014

Rhode Island Set To Begin Health Insurance Claims Database

Rhode Island is beginning an all-payer claims database to better known how much residents are spending on healthcare, and on what.
Credit Aaron Read / RIPR

You may have gotten a letter in the mail recently from your health insurance company asking whether you wanted to opt out of something called an “all payer claims database.”

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The Pulse
4:09 pm
Fri April 11, 2014

To Find Health Care Cost Savings, Follow The Money. Or Rather, The Data.

It's pretty basic: in order to save a little money, most people have to stick to a budget. But before you can sketch out that spending plan, you need to know where your money's been going and how much you've been spending on everything. Then you can look for places to trim and skimp.

So too goes the theory with health care spending. Or at least, that's the idea behind several new efforts:

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Health Care
2:48 pm
Wed April 9, 2014

Medicare Advantage Plan Members Can Opt Out If Plans Drop Doctors Without Cause

Seniors with Medicare Advantage have more flexibility to opt out of plans, thanks to new rules.
Credit Aaron Read / RIPR

New rules for Medicare Advantage plan members give seniors more flexibility to opt out of plans that drop their doctors from the network.

The Centers for Medicare and Medicaid Services has announced that Medicare Advantage plan members will be able to switch plans if those plans drop doctors mid-year without cause. These are Medicare plans offered by private insurance companies and often operate like HMOs.

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The Pulse
4:43 pm
Mon March 31, 2014

What's Next For HealthSource RI?

As you may know, today is the deadline for individuals and families to sign up for health insurance coverage through HealthSource RI, if you don't already have coverage. But what happens tomorrow?

Well, if you're an individual or a family without coverage now, and you can't get it through your employer or via Medicaid, you'll have to wait until the next open enrollment period, November 15, 2014. Also, you might face a tax penalty.

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Health Care
5:00 am
Fri March 28, 2014

Last Chance To Enroll On HealthSource RI Is Monday

Monday is the deadline to enroll in a health insurance plan through HealthSource RI, the state’s online insurance marketplace. That’s the last chance to enroll until November.

The push is on to attract as many eligible Rhode Islanders to HealthSource RI to sign up for a health insurance plan. March 31st is the deadline to enroll in coverage in order to avoid a tax penalty for the year. And the next open enrollment period doesn’t start until mid-November for coverage that begins the following January. So if you were waiting until the last minute, now’s the time.

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The Pulse
12:08 pm
Thu March 20, 2014

Does Having Health Insurance Boost ER Visits?

Another study seems to suggest that, contrary to previous assumptions, it does.

Researchers from Beth Israel Deaconess Medical Center in Boston have just published the results of a study in the Annals of Emergency Medicine that looked at all emergency department visits at 69 hospitals between the fall of 2006 and the fall of 2009. In 2006, Massachusetts expanded access to health insurance to nearly everyone in the state.

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