Atlanta conference points to health effects of climate change – and a path forward

Feature Feb 18, 2017 0

An earlier version of this story was published by Seeker Events like last week’s Atlanta conference on climate change and health might be a model for things to come in the next few years. With a new administration vowing to... Read more

Warm winters fueling deadly Southeast tornadoes

Feature Feb 15, 2017 0

This article was originally published by Seeker, which granted GHN permission to reprint it. The... Read more

Latino kids being bullied more amid political controversy, groups say

Feature Feb 8, 2017 0

“Go back to your country!” Leaders of Latino service organizations say such statements have... Read more
Letter to the Editor: FAIR Health provides ‘neutral, objective market data’

To the Editor:

In commenting on the Feb. 14, 2017, article “Proposal to End ‘Surprise’ Billing Tied Up over Payment Formula,” we at FAIR Health first acknowledge and applaud the Georgia Legislature’s serious efforts to protect consumers from balance billing for emergency and surprise bills. But we also wish to clarify the role that FAIR Health and our data play in supporting such initiatives in Georgia and other states. Far from setting an “extremely high” benchmark for reimbursing providers, as one party in the debate was quoted as saying, FAIR Health does not offer or recommend any particular amount as a ...

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After tweak in payment formula, Senate committee OKs remedy for ‘surprise’ billing

A Georgia Senate panel Thursday passed legislation to halt ‘’surprise’’ medical billing – but not without a last-minute amendment that changed the contentious payment formula.

The Health and Human Services Committee approved Senate Bill 8, which will address those situations in which patients get unexpected bills from providers who are not in their network, even though the hospital is a network facility.

Consumers who have procedures or visit ERs at hospitals in their networks often think they have accounted for all the costs, only to get an additional bill for hundreds or even thousands of dollars from a non-network doctor.

These bills can ...

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Humana quitting Georgia exchange (and others) as feds plan rule changes

Humana’s planned pullout from Georgia’s insurance exchange at the end of 2017 would subtract yet another health insurer from the state’s marketplace.

The company, based in Louisville, Ky., is one of just five insurers offering plans this year in the Georgia exchange, which was created by the Affordable Care Act. UnitedHealthcare and Aetna were two heavyweights that bowed out of Georgia’s and other exchanges in 2017.

The Humana announcement Tuesday that it would pull out of the 11 state exchanges where it operates was followed Wednesday by the Trump administration announcing a proposed set of rule changes to boost the stability of the exchanges for 2018.

Republicans ...

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Proposal to end ‘surprise’ billing tied up over payment formula

A Senate bill that aims to prevent ‘’surprise’’ medical billing remains stalled.

The major snag is a lack of agreement on a formula to determine reimbursement rates for doctors, said Sen. Renee Unterman, the bill’s sponsor, at a legislative hearing Tuesday. Unterman, a Republican from Buford, is also a nurse and has been concerned about the problem for a long time.

Surprise medical bills can come from ER doctors, anesthesiologists, radiologists, pathologists and others who are not in a patient’s insurance network — even though the hospital where they work is in the network.

Consumers who have procedures or visit ERs at facilities ...

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Letter to the Editor: FAIR Health provides ‘neutral, objective market data’
To the Editor: In commenting on the Feb. 14, 2017, article “Proposal to End...
After tweak in payment formula, Senate committee OKs remedy for ‘surprise’ billing
A Georgia Senate panel Thursday passed legislation to halt ‘’surprise’’ medical billing – but...
Humana quitting Georgia exchange (and others) as feds plan rule changes
Humana’s planned pullout from Georgia’s insurance exchange at the end of 2017 would subtract...
Proposal to end ‘surprise’ billing tied up over payment formula
A Senate bill that aims to prevent ‘’surprise’’ medical billing remains stalled. The major...
Flu misery continues across the state
State health officials report that flu cases remain widespread in Georgia. The Department of...
Americans feeling more stress, survey finds
Americans say they’re feeling more stress, according to a survey released this week by the American Psychological Association.  
Three reforms for Day 1, once Dr. Price is confirmed
  A physician has not taken office as Health and Human Services secretary since 1989, when Georgia’s Dr. Louis...
Health care solutions we can embrace now
There is no question that Georgia’s rural hospitals are struggling. The great majority are losing money every year, and...
May his memory be an inspiration
“Of all the forms of inequality, injustice in health care is the most shocking and inhumane.”  These were the...

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