Health insurance companies to offer 100% ‘cashless’ treatment in hospitals: All you need to know | Explained News

Taking the health insurance segment to a new level, general and health insurance companies have decided to offer 100 per cent cashless treatment across the country from January 25. The step, initiated by the Insurance Regulatory and Development Authority of India (IRDAI), is expected to boost insurance penetration in the country and ease the claims process of policyholders and hospitals, thus avoiding delays and disputes normally seen in the reimbursement mode. Under the ‘Cashless Everywhere’ system, the policyholder can get treated in any hospital they choose without paying any amount, and a cashless facility will be available even if this…
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Georgia’s Medicaid Work Requirements Costing Taxpayers Millions Despite Low Enrollment

Georgia Gov. Brian Kemp’s plan for a conservative alternative to Obamacare’s Medicaid expansion has cost taxpayers at least $26 million so far, with more than 90% going toward administrative and consulting costs rather than medical care for low-income people. Kemp’s Georgia Pathways to Coverage offers government health insurance to people earning up to the federal poverty level — $15,060 for an individual adult — if they can document that they’re working, in school, or performing other qualifying activities. Since July, when the program began, about 3,500 people have signed up, according to state officials. That’s a small fraction of Georgians…
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California health insurance penalties can cost more than coverage

In summary California is one of four states that levies a tax penalty on uninsured households. Many people paying the fines are eligible for heavily subsidized health insurance through Covered California. Lea esta historia en Español Californians without health insurance are again facing tax penalties this year, and some may pay more in fines than they’d spend buying coverage, state officials say. That’s because some of them may qualify for heavily subsidized insurance and don’t know it. California’s insurance marketplace, Covered California, offers health insurance for as little as $10 a month, with rates depending on household income and size,…
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Galaxy Health gets Irdai approval to launch health insurance business | Insurance

Galaxy Health and Allied Insurance Company received approval from the Insurance Regulatory and Development Authority of India (Irdai) on Friday to commence health insurance business in India. During the 125th meeting held on 19 March 2024, the insurance regulator granted approval to the company. Following this approval, the number of Standalone Health Insurers (SAHIs) in India will increase to seven from the existing six. This is the second standalone health insurer to gain IRDAI approval in 2024. Narayana Hospitals backed Narayana Health Insurance Company received approval from the insurance regulator in January 2024. The company was launched by V Jagannathan,…
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2023 Private Health Insurance Report Card

Australian patients are being shortchanged by private health insurance companies, which are collecting significantly larger profits while returning a smaller proportion of premiums to customers. This week we released our 2023 Private Health Insurance Report Card, which shows the rebates for identical procedures still vary wildly between insurers. In a media statement, AMA President Professor Steve Robson encouraged consumers to carefully consider which private health insurance option is best for them, with a focus on products that deliver treatment they are most likely to need in the future. “Our report card highlights the importance for consumers to look closely at…
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Insurers to opt for ‘cashless’ treatment in hospitals everywhere from today | Insurance News

General and health insurance companies have decided to opt for ‘cashless’ treatment under health insurance policies across the country from Thursday. Under the ‘Cashless Everywhere’ system, the policyholder can get treated in any hospital they choose, and a cashless facility will be available even if such a hospital is not in the network of the insurance company. This means the policyholder can get admitted to a hospital without paying any money and insurance companies will pay the bill on the discharge day.…
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California’s expanded health coverage for immigrants collides with Medicaid reviews

Medi-Cal health coverage kicked in for Antonio Abundis just when the custodian needed it most. Shortly after Abundis transitioned from limited to full-scope coverage in 2022 under California’s expansion of Medi-Cal to older residents without legal immigration status, he was diagnosed with leukemia, a cancer affecting the blood cells. The soft-spoken father of three took the news in stride as his doctor said his blood test suggested his cancer wasn’t advanced. His next steps were to get more tests and formulate a treatment plan with a cancer team at Epic Care in Emeryville. But all of that was derailed when…
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AHPI welcomes proposed regulator exclusively for health insurance | News

Under the IRDAI Vision 2047, the government is aiming to provide “Insurance for All” by 2047. The Association of Healthcare Providers India (AHPI) has lauded the Ministry of Finance for contemplating setting up an independent regulator for health insurance. The ministries of finance and health are under discussion over the need for a sector watchdog to help achieve the IRDAI Vision 2047. The AHPI, representing a vast majority of private sector hospitals in the country, is also represented on the IRDAI advisory for the healthcare sector. In an official letter, the AHPI said, “This is a welcome move as making…
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