New guidelines announced by the U.S. Department of Health and Human Services (HHS) require new health insurance plans to cover women?s preventive services such as well-woman visits, breastfeeding support, domestic violence screening, and contraception without charging a co-payment, co-insurance or a deductible
New guidelines announced by the U.S. Department of Health and Human Services (HHS) require new health insurance plans to cover women’s preventive services such as well-woman visits, breastfeeding support, domestic violence screening, and contraception without charging a copayment, co-insurance or a deductible.
New health plans will need to include these services without cost sharing for insurance policies with plan years beginning on or after Aug. 1, 2012. The rules governing coverage of preventive services, which allow plans to use reasonable medical management to help define the nature of the covered service apply to women’s preventive services.
"This is evidence of how the private/public partnerships at the heart of health reform can work,” says J.D. Kleinke, Medical economist and author of Catching Babies. “The commercial health plans all know it's good marketing to go to first dollar coverage for something this important, but it's also a pricing and business risk. This rule levels the playing field and let's the commercial plans get on with the harder work of taking care of all those new enrollees.”
The administration also released an amendment to the prevention regulation that allows religious institutions that offer insurance to their employees the choice of whether or not to cover contraception services. Plans that have been grandfathered in under the Patient Protecton and Affordable Care Act are also not affected by the prevention regulation.
HHS’ Health Resources and Services Administration (HRSA) used an Institute of Medicine report issued July 19 when developing the new guidelines. According to HHS, the IOM’s report relied on independent physicians, nurses, scientists, and other experts to make these determinations based on scientific evidence.
DC Roundtable: Patrick Cooney of The Federal Group Drops the Latest on PBM Legislation in Washington
April 11th 2024In this episode of "DC Roundtable," Peter Wehrwein, managing editor of Managed Healthcare Executive, spoke with Patrick Cooney, president of The Federal Group, a lobbying and strategic planning firm in Washington, D.C., about recent developments in Washington concerning PBMs.
Listen
Personal Health Information was Released in Change Healthcare Hack
April 23rd 2024UnitedHealth has found 22 screenshots, allegedly from Change Healthcare files, that were posted for about a week on the dark web. Some of these contained personal health information. The extent of data release is not yet known.
Read More