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- ABC News News about Health Plans. Commentary and archival information about Health Plans from The New York Times. http://abcnews.go.com/topics/news/health/health-plans.htm Health Insurance, Medical Insurance, Free Online Insurance Quotes ... eHealthInsurance is the nation's leading online source of health insurance. eHealthInsurance offers thousands of health plans underwritten by more than 180 . http://www.ehealthinsurance.com/ Affordable Health Insurance - Get Instant Health Insurance Quotes eHealthInsurance offers thousands of health plans underwritten by more than 180 of the nation's health insurance companies, including Aetna and Blue Cross . http://www.ehealthinsurance.com/affordable-health-insurance/ Health Insurance and Managed Care - What Is Managed Care? How does managed care work? Managed care plans help control costs by using a network of providers who agree to provide services to plan members at . http://health.nytimes.com/health/guides/specialtopic/managed-care/overview.html
Enrollment in Affordable Care Act (ACA) Marketplace health plans reached a record 24.3 million people, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election, a new KFF analysis finds. Almost all states have seen increases in enrollment since 2020, including six<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/affordable-care-act/press-release/aca-marketplace-enrollment-has-more-than-doubled-since-2020-with-the-fastest-growth-occurring-in-states-won-by-president-trump-in-2024/" class="see-more light-beige no-float inline-readmore">More</a></p>
Physician executive Tim Wetherill discusses his article, "Why AI is the perfect neutral arbiter for health care claims." Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication process create opportunities for manipulation and inefficiency. He explains how AI, when trained on clear, bias-free rules, can standardize decision-making and eliminate ambiguity, reducing the need for multiple vendors and decreasing billing errors. Tim argues that AI is uniquely positioned to serve as an unbiased third party—improving outcomes for health plans, providers, and ultimately, patients. His insights point to a future where fairness and efficiency drive health care claims resolution.
By adopting a fresh approach that places the right people in the right programs, including AI-enabled enrollment, health plans, the healthcare industry will be in a better position to weather impending federal cuts – and maybe even end up better for it.
Oakland, Calif.-based Kaiser Permanente faces $819,500 in fines after state officials said the organization delayed handling complaints from health plan members. The California Department of Managed Health Care, which is responsible for overseeing health plans in the state, announced the fines April 25. “Complaints are an important health care right to ensure members receive the […]