Each year insurance companies who participate in the ACA marketplace are required to post their proposed rate increases or their block of business in each state they operate in. These rates have been shown to vary widely depending on the year, however, they have stabilized for the most part recently. This segment breaks down the rate increases, informs you of how the companies determine these numbers and what you should do if you are in a situation where you are facing an undesirable rate increase ..read more

Two heavyweights will be duking it out in the court system over problems with access to claim information as Kraft Heinz is suing Aetna over lack of access to critical data. Most large companies often self-insure their health plan. This means that they are responsible for paying claims up to a certain amount before separate insurance often kicks in called stop-loss. Since most businesses are not in the business of insurance they often partner with what is called a Third Party Administrator (TPA) to process and pay claims. Large insurance companies often also offer TPA services since they have ..read more

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We have reported previously on the ensuing crisis we face with regard to looming healthcare worker shortages. The biggest driver for this is demographics in that the baby boomer generation was much larger than other generations and as they continue to retire there may not be enough new workers to replace them. The system has failed to train more and now more angst from healthcare workers after the pandemic could exacerbate this problem even worse. We discuss these factors in this segment. Here is a link to the previous segment with more on this topic: https://soundcloud.com/americascanary/heal ..read more

Story one: https://bit.ly/3H5awj4 Story two: https://bbc.in/3EVFIzI Story three: https://wapo.st/3wtlb2n Story four: https://cnn.it/3o8qyQI Story five: https://bit.ly/3o9OrY7 Follow me on twitter: @SeanMMcGuire Connect with us: Facebook.com/AmericasHealthcareChallenge ..read more

1) Infrastructure Bill's Top Provisions. 2) Biden's Vaccine Mandate and Blowback 3) Merck in the Money? 4)Drug Companies Making Bank 5) Positive News on a New Cancer Treatment ..read more

President Biden mandated that businesses with more than 100 employees mandate the COVID-19 vaccine or require workers to be tested regularly. This has created blowback all over the country and several outlets are worried about the impact on the healthcare workforce. Also, as this pandemic drags, could we now have a new treatement ..read more

President Biden outlined his six point plan to battle the COVID-19 Delta Variant. This segment looks at some of the important provisions including a controversial Department of Labor requirement for businesses with more than 100 employees facing a $14,000 penalty for un-vaccinated employees who deny testing ..read more

As kids head back to school new concerns have surfaced about the Delta variant that is increasing hospitalizations rapidly across the country. The difference here is that it is affecting children more than other strains. Will the six-point plan outlined by the President be able to slow the spread? We discuss in this segment ..read more

Breaking news today as the United States Supreme Court sided with the Federal government and upheld the constitutionality of the law. In this segment we discuss the historic 7-2 decision, share reaction from President and talk about the five things we may see now that the law is here to stay ..read more