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The Health Insurance Premium Payment Program (HIPP) is a Medicaid program that allows a recipient to receive free private health insurance paid for entirely by their state's Medicaid program. A Medicaid recipient must be deemed 'cost effective' by the HIPP program of their state. Ultimately, the program was made optional, and its use is minimal ...
Doctors and hospitals are generally funded by payments from patients and insurance plans in return for services rendered (fee-for-service or FFS). In the FFS payment model, each service provided is billed as an individual item, which creates an incentive to provide more services (e.g., more tests, more expensive procedures, and more medicines).
The employees are responsible to pay any deductibles or co-payments required under the policy. A self-funded plan has fixed components similar to an insurance premium; but in contrast, the self-funded plan pays the claims incurred by the plan participants, and the employer's risk is not capped. Even with stop-loss insurance, the employer still ...
Workers with family health insurance coverage through employers pay the second highest average premiums in the country at roughly $7,180 annually, with deductibles in the same category averaging ...
avoidance of capitating or regulating premiums which are routinely and in accordance with this law, charged by an insurance company for coverage, which might make the coverage non-affordable with regard to a consumer's income [7] requiring most Americans to carry or obtain qualifying health insurance coverage or face a fine for non-compliance ...
Administration of the program is by new state-sponsored "Health Help Agencies" (HHA). States must establish these organizations, which will approve health plans from private insurers, provide for enrollment in plans, and act as a conduit for premium payments from the federal government to individual insurance carriers.
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In 2023, HCA and the New Hampshire Attorney General's Office reached a settlement that called for HCA to provide $2.75 million to use to improve the health and well-being of Rochester-area residents.
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