NEW! NAHU Agency Membership

NAHU’s Agency Membership—an easy and effective way for your agency to manage individual NAHU memberships and maximize the benefits for your agency through one centralized point. NAHU’s Agency Membership is available to agencies who enroll 75% of eligible agency members (EAM)—defined as producers who are licensed to sell employee benefits, individual health insurance, Medicare or other health related products, as well as account managers and compliance professionals who are on staff and work with clients. Agency Member Benefits Saves over individual membership rates under the agency membership list billing umbrella Streamlined billing process— one invoice, one renewal date, one payment Company ownership of the membership slots—if a person on the membership billing leaves your employment, you select the new member replacement Discounts on NAHU’s most …

Is COVID-19 a Pre-Existing Condition? What Could Happen if the ACA is Overturned

Published by: Prior to the Affordable Care Act (ACA), having a pre-existing health condition, such as a severe respiratory illness, made it harder or even impossible for people to get and keep private health insurance in the individual market.  Coverage people bought on their own in this market was “medically underwritten” in most states. That meant applicants had to answer questions about their health status and history and, based on their answers, could be turned down, charged more, or offered a policy that permanently excluded their health condition.  Job-based group health plans could also exclude coverage for pre-existing conditions for up to one year.  However, people could change jobs and move to a new group health plan without a …

Did you know that NAHU has a podcast?

The NAHU Healthcare Happy Hour provides an in-depth review of the most recent trends in the health insurance industry as well as any actions being taken by Congress and the Trump Administration. The podcast is posted every Friday on iTunes, Spotify, and Stitcher. If you like what you hear, you can also share the podcast with friends and clients, but make sure you all subscribe so you won’t miss a posting. The Healthcare Happy Hour often features guest experts to provide even more background on the topics NAHU is covering for you, and posts special editions when there is breaking news. Tune-in to hear the latest from the Hill, what’s on tap to be acted on next, and our toast …

Tips, Tricks & Tools to Navigate in a Virtual World

Hear from CAHU President Mike Staebler and Past President Matt Byrne as they share their Tips, Tricks, and Tools on how to continue being successful in our new normal during this short 15-minute video. CLICK HERE to watch their video!

Report Shows Insurers Recognizing ‘Mega’ Claims More Quickly

Article Published by: The share of “mega” workers’ compensation claims — those expected to cost $3 million or more — climbed steadily since 2013 after dropping as construction employment declined sharply during the Great Recession, according to a report by the National Council on Compensation Insurance and nine state rating bureaus. The report, released Tuesday, says insurers are recognizing mega claims more quickly. That may be because many are now using analytical models to identify and triage claims with high cost potential early in the process. The report says significant increases in the number of reported mega claims in 2016 and 2017 may be attributable to insurers recognizing those claims earlier. READ MORE

COVID Testing Is Supposed to Be Free. So Why Are People Still Getting Huge Bills?

Article published by: Free, universal coronavirus testing is critical to flattening the arc of infection. But while federal law aims to make such testing easy to access and widely available, those efforts have fallen short for many Americans. The U.S. healthcare system — chaotic in any “normal” year — is being stretched tissue-paper thin by a flood of coronavirus cases, and squabbling between insurers and legislators about who should pay for that influx isn’t making things easier. READ MORE

Trump tries to revamp drug supply chain with latest order

First published on   Article linked below is published on Dive Brief: The Trump administration on Thursday issued an executive order telling the federal government to buy and give preference to drugs and medical supplies developed and made in the U.S. rather than abroad. The order, a reactive move to supply shortfalls exposed by the coronavirus pandemic, would have the Food and Drug Administration compile a list of “essential” medicines that the government would be instructed to procure from American manufacturers. READ MORE

2020 Medicare Summit Cancelled

During these unprecedented times, and after much discussion, the CAHU Board of Directors have decided to cancel the annual Medicare Summit that was scheduled to be held on September 10, 2020. Although we are saddened by this decision, the Board is working hard to create exciting ways for members to connect, so stay tuned! We look forward to seeing you again in person once life is back to normal. Please stay healthy and safe!

Pharma execs, upset by Trump’s drug pricing executive orders, refuse White House meeting

Article published by: President Donald Trump seems to have hit a nerve with his Friday executive orders on drug pricing. As drug companies work to battle the pandemic, executives declined to attend a White House meeting today on drug prices, according to media reports.  When he touted the executive orders Friday, the president said Tuesday’s meeting would facilitate talks with pharmaceutical executives on an issue important to many Americans. But the major industry trade groups declined to send representatives, Politico said. Industry representatives weren’t sure it would have been a “productive meeting,” a source told The Hill. At issue is the president’s order linking drug prices in Medicare to lower prices abroad, which the industry argues will import socialist price controls into America’s healthcare system. Trump …

The evolving nature of fraud

Article published by: The insurance market was set to hit new highs in 2020. Then COVID-19 happened. That forecast – and the global economic outlook – is now far less certain. But while market growth projections are in a state of flux, the rate of fraud isn’t expected to slow down. Insurance fraud is anticipated to cause anywhere from $80 million to $100 billion in lost revenue this year. Fraud is sometimes seen as a victimless crime, but it isn’t. It can fund organized criminal activity, it’s often a central vehicle for money launderers, and its proceeds are even used to fuel terrorism. As insurers seek to combat fraud, there are five key trends they need to keep in …