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Stay up to date on the latest News on our industry.
Doctor Shortages-covered but less access?
With increase in demand and already shortages of Doctors the Obamacare – Affordable Care Act will put significant severe strains on patient access.
BlueCard PPO
Bluecard PPO - Outside members home region, the PPO medical plan is known as BlueCard PPO. The BlueCard plan offers a network of quality doctors and hospitals known as the BlueCard Provider Network. PPO Plan Features freedom to seek care in-network or...
Aetna and Hunterdon HealthCare Partners Forge New Accountable Care Relationship
Aetna and Hunterdon HealthCare Partners Forge New Accountable Care Relationship Hunterdon Healthcare employees and Aetna members in 5 NJ counties will benefit from new ACO committed to higher quality more coordinated care HARTFORD, Conn.--(BUSINESS WIRE)--Aetna...
Union Plans and Obamacare
The Con Ed lockout this Summer couldn't come at a more heady time. I'm not referring to the obvious temperature swelter but more to the employee health benefits that are at the back bone of virtually every recent Labor dispute. With the Con Ed dispute, Management's...
Individual Mandate Upheld
At 10 AM today the Supreme Court in a 5-4 decision upheld the Patient Protection and Affordable Health Care Act's individual mandate as constitutional. The text of the opinion, in National Federation of Business vs. Sebelius, Case Number 11-393, is available here....
Supreme Court Ruling Expected Thursday
The biggest Supreme Court Ruling in a decae is expected this Thursday before the Summer recess. Yet thats when the fun begins.Possible outcomes: Delay hearing the legal issues associated with case for several years due to the Tax Issue. Invalidate the...
Consider Supplements to Primary Medical Plans
Consider Supplements to Primary Medical Plans. For more information on how a work-site supplemental package would help you and your company please contact us at (855)667-4621 info@medicalsolutionscorp.com today.
NYU Beth Israel Hospital Merger and ACO
NYU Beth Israel Hospital Merger and ACO
Patients Waking Up To Major Colonoscopy Bill
Patients Waking Up To Major Colonoscopy Bill The NYT article - Waking Up to Major Colonoscopy Bills illustartes what our clients are increasingly running into - increased out of pocket expenses. "Patients who undergo colonoscopy usually receive anesthesia of some...
Oxford Terminates Westchester Medical Center
Oxford /United Healthcare has announced last week their contract termination with the Valhalla teaching hospital, Westchester Medical Center effective May 1, 2012. The NYS "cooling off period" imposes both parties to renegotiate a contract until July 1st. The...
HSA 2013 Limits
The IRS has released the 2013 Health Savings Account (HSA) inflation adjustments. In 2013 HSA limits are as follows: HSA Annual Contribution Limit: Single - $3,250 (up from $3,100 in 2012) Family - $6,450 (up from $6,250 in...
Individual Mandate Penalties
After 3 days of Health Care Reform Supreme Court Hearings, a central components debated is the constitutionality of forcing an individual to purchase health insurance. Certainly it would be costly if one could just opt out at any time and then come back in you would...
LTC MetLife Hiring Independent Caregiver
LTC MetLife Hiring Independent Caregiver LTC MetLife Hiring Independent Caregiver As people age—or due to a life-changing event such as a stroke—the ability to live inde- pendently may change. Over 44 million Americans spend time caring for family members or friends...
Out of Control Out of Network Charges
Out of Control Out of Network Charges Few healthcare changes have been more impacted than the out of control out of network charges billed to patients. The health care reform bill known as PPACA has for the most part been insignificant in the Northeast, in...
2012 Medicare B Deduction for Self-employed
Some good news for small businesses owners on Medicare Part B. The IRS is permitting for the 1st time self-employed people to deduct their Medicare Part B healthcare premiums. What is Part B? Part B helps cover medically-necessary services like doctors' services,...
Is NY Small Biz healthcare ill?
In the wake of Empire Blue Cross's recent major SMB changes the 2 new Crains article below point to the early shake up results. Tough Decisions on Health Coverage Insurance Good Luck Empire's Small Group "simplification" did indeed cause groups to escape Empire's...
Oxford Network Advantage – 2012
For Full 16 Page PDF click here : Oxford Network Advantage Sheets 2011 - Freedom and Liberty Overview
Oxford Preventive Health Guidelines Member Flyer
2012 Oxford Preventive Health Guidelines Member Flyer
Oxford Preventive Health Guidelines Worksite Poster
2012 NY Oxford Preventive Care Flyer
Empire Leaving Small Group – delayed 1 year
In a pleasant surprise, Empire will delay their April 2012 decision to "simplify" small group plans 1 more year from April 2012 to April 2013 instead. The Nov 4th Empire announcement to leave the NY Small Group Business was truly shocking after being in business for...
Empire Leaving Small Groups
As per todays Crains article, Empire Blue Cross will be exiting the majority of small group health plans effective April 1, 2012. The news was swirling earlier this week with official Empire communication going out today. This affects 1/3 of New York Small Businesses...
What Does Medicare Cost?
Yes! it has begun Medicare Open Enrollment Period which opened Oct 15th - Dec 7th is in full swing. This is year 1 of Baby Boomers Generation applying for Medicare Benefits. This couldn't come at a better time with all changes in the market place. Many businesses...
Additional Medicare Resources
People with Medicare, their families and other trusted representatives can review and compare current plan coverage with new plan offerings, using many proven resources, including: Visiting www.medicare.gov, where they can get a personalized comparison of costs and...
Medicare Supplement Insurance Plans (Medigap)
Medicare Supplement Insurance Plans (Medigap) Medicare Supplements or Medigap are private insurance policies designed to cover the gaps in Medicare coverage. It is important to research and shop for the best rates in your area. All plans are "standardized" and must...
Healthy NY Slashed!
As reported by Crains, the Healthy NY program will be undergoing significant cuts. Beginning January 1 2012, the high deductible health plans (HDHP) option will only be offered by Healthy NY. With rates averaging 30% below market and reasonable benefits such as $20...
Healthy NY FAQ
Healthy NY FAQ FULL Rate and Benefits: 2014 Healthy NY The goal of the Healthy NY program is to promote and provide affordable insurance coverage to eligible small businesses that are not currently offering health insurance coverage to their employees. It is also...
Healthy NY Slashed!
HEALTHY NY SLASHED! As reported by Crains, the Healthy NY program will be undergoing significant cuts. Beginning January 1 2012, the high deductible health plans (HDHP) option will only be offered by Healthy NY. With rates averaging 30% below...
Lost Jobs
"Almost everything--all external expectations, all pride, all fear of embarrassment or failure--these things just fall away in the face of death, leaving only what is truly important. Remembering that you are going to die is the best way I know to avoid the trap of...
CLASS In or Out? – Long Term Care
In another downsizing move of the Health Care Reform ACT - Patient Protection and Affordable Care Act (PPACA) the office responsible for the new Long Term Care Act claus have been reassigned. This portion of the law is known as CLASS (Community Living Assistance...
UnitedHealthcare Buying Medical Groups?
UnitedHealthcare Buying Medical Groups? Optum Health owned by UnitedHealth Group Today's WSJ reports UnitedHealth Buys California Group of 2,300 Doctors may be a signal of future trends in healthcare where there is blurring of the lines between insurers and providers....
The NYS Surcharge on Health Insurance
Ever Wonder why in a Metropolis of 25 Million there are maybe 5 insurers left? New York Taxes - As published with the NYS Insurance Dept. New York adds more insurance taxes than any other state in the country. These consist of both direct taxes and a number of...
U.S. Budget Deal’s Effect on Private Insurance
After balancing the budget and announcing $2.4 trillion in government spending cuts over ten years, politicians and media pundit are insisting that it is only the beginning of the attack on health care, pensions and other social programs. So why is balancing the...
Map of State Exchanges Status – July 2011
Map of State Exchanges Status – July 2011
Contraceptives Free Next Year
Under Health-Care Reform Insurance Coverage for Contraception Is Required - NYT; The Health Resources and Services Administration (HRSA), an arm of HHS, developed the women’s services package to implement the preventive health services provisions of the Patient...