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Wednesday, April 17, 2024

Well being Care Sharing Ministries Go away Customers with Unpaid Medical Claims


Well being Care Sharing Ministries Go away Customers with Unpaid Medical Claims


By JoAnn Volk, Justin Giovannelli, and Christina L. Goe

This yr, a number of states have superior laws aimed toward “well being care sharing ministries” (HCSMs), an association through which members observe a standard set of non secular or moral beliefs and make month-to-month funds to assist pay the qualifying medical bills of different members. HCSMs typically declare to supply well being protection corresponding to insurance coverage, however lack the buyer protections and profit requirements that apply to complete well being plans and are beneath no obligation to pay members’ claims. Due to how HCSMs are marketed, shoppers might have problem figuring out the numerous limitations of those preparations and danger getting caught with unpaid payments. Till just lately, states didn’t have entry to information on HCSMs’ enrollment, operations, and funds, however a few states have begun to fill these gaps; final yr, Colorado turned the primary state to require complete information from all HCSMs enrolling Colorado residents.

Colorado just lately revealed its first experiences on HCSMs promoting memberships in Colorado. In a put up for the Commonwealth Fund’s To the Level weblog, CHIR’s JoAnn Volk and Justin Giovannelli, together with legal professional and well being coverage marketing consultant Christina L. Goe, check out information from Colorado’s first HCSM report. The authors discover that HCSMs working in Colorado had higher than anticipated nationwide enrollment, and these preparations proceed to go away members with unpaid claims. You may learn extra about insights from the state report within the full weblog put up right here.

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