Health Care Reform

The superintendent of the Maine Bureau of Insurance has issued a bulletin telling health plans that a plan must open up its provider network gates when any care provider wants to refer an enrollee to an in-network specialist or other in-network care provider.

The state's insurance commissioner says the carrier's staff seemed to "willfully misinterpret our questions" and "dismiss our concerns."

The initial reduction in force happened during the second week of the shutdown as part of the Trump administration's efforts to downsize the government workforce.

The proposed change could save 7,049 HRA and ICHRA sponsors from the notice requirements.

In the complaint, multiple plaintiffs across California detail their own (or their child's) struggle to find accessible care.

Senate Democrats predict that the firms would earn "significant profits" from administering new and expanded health accounts.