Premium: The amount the policy-holder or their sponsor (e.g. an employer) pays to the health plan to purchase health coverage. In recent days, Aetna announced that it will drastically reduce its participation in the Obamacare marketplaces, joining a long string of other health insurers, including giants like United Healthcare and Humana, and small local outfits like Scott & White in Texas , all of which cited massive financial losses in this market.
Designed to apply to the rules of the ‘covered entities’ as stipulated by the HHS and HIPAA, these entities evolve over billing services, transmission of health care data by healthcare providers, health plans, community health information systems and healthcare clearinghouses.
METHODS: We analyzed health insurance claims for patients aged ≥ 18 years with schizophrenia and newly prescribed oral atypical antipsychotics in 2007-2013 from 3 U.S. insurance claims databases: Truven MarketScan (Medicaid and commercial) and Humana (Medicare).
This new …