health insurance

Debrief: New Health Laws Address Addiction, Breast Cancer

Jun 25, 2014

Another legislative session has wrapped up. Health care reporter Kristin Gourlay joins host Dave Fallon in the studio to talk about how health care fared on Smith Hill.

Here's a transcript of their discussion.

Lifespan, BCBSRI Ink Accountable Care Deal

Jun 25, 2014

The state’s largest hospital chain and largest insurer have inked an agreement to share patient data that will help them look for ways to improve health and save money. The deal is the largest of its kind in the state and could shape health care for more than 35,000 Rhode Islanders.

Aaron Read / RIPR

How much will health insurance cost you next year? Well, you’ll find out soon. Health insurers have submitted their plans for next year, including how much they want to charge customers and what benefits those plans will include.

In Rhode Island, it’s the office of the health insurance commissioner that reviews those plans and decides whether to approve or reject them, or ask for some changes.

Small Businesses Ask Insurance Commissioner For Relief

Jun 18, 2014
Kristin Gourlay / RIPR

Small business owners are hoping the state’s health insurance commissioner will hold the line on the cost of health insurance for next year. The commissioner’s office is taking public comment on those proposed rates now. And at a public hearing last night, several small business owners testified about how rising insurance costs are eating into their bottom line. Bruce Dawson owns Central Tools in Pawtucket.

Have Your Say About Health Insurance Rates

Jun 12, 2014

Health insurers have filed their requests for rate increases (or, in one case, decreases!) for the coming year (effective January 2015). The Office of the Health Insurance Commissioner reviews those requests to make sure they're fair, and then issues a ruling, probably by mid-July. Before then, you have an opportunity to weigh in.

Here are the details on those opportunities, plus OHIC's summary of what insurers have requested.

Debrief: The Debate Over Sustaining HealthSource RI

Jun 5, 2014
RIPR FILE

State lawmakers have plenty of competing priorities to consider as they wrap up the legislative session. One of those is what to do with the state’s health insurance exchange, HealthSource RI. Health care reporter Kristin Gourlay joins host Dave Fallon to talk about the lively debate that's developed around this question of whether to keep HealthSource going or scrap it and default to the federal health insurance exchange, healthcare.gov.

Lt. Gov. Defends HealthSource RI

Jun 3, 2014

Lawmakers are being asked to decide the fate of HealthSource RI, the state’s online health insurance exchange. At issue is how to pay for it, or whether to scrap it. And plenty of voices are weighing in on the conversation. The latest claims state officials were told years ago that building an exchange wasn’t viable but did it anyway.

As you may know, there's a debate in the Rhode Island Statehouse over how to fund the state's online health insurance marketplace, HealthSource RI, after the Obamacare money runs out. Some say the $17 - $23 million dollar price tag to fund the site, customer service reps and centers, and infrastructure needed to negotiate for health insurance plans for sale on the site is just too much for a state with anemic coffers.

20 More Primary Care Practices To Join CSI-RI

May 20, 2014

A statewide effort to link more Rhode Islanders with primary care is expanding.

The effort is called the Chronic Care Sustainability Initiative, or CSI.CSI promotes the patient-centered medical home model of health care. In a patient centered medical home, a team of health care professionals coordinates a patient’s care. It’s especially helpful for patients with chronic illnesses, although anyone can join.

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

May 9, 2014

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.

Aaron Read / RIPR

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

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

Apr 24, 2014

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.

United Healthcare, Landmark Await Ruling On Network

Apr 24, 2014
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.

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.”

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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