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HealthCare Checkup

The Seattle Times health-care team tracks the local impact of the Affordable Care Act.

Topic: Mike Kreidler

You are viewing the most recent posts on this topic.

October 20, 2014 at 3:21 PM

Court, Kreidler bolster mental-health coverage

Washington residents will be able to recover some of their medical costs for certain mental health services. Insurance Commissioner Mike Kreidler is sending letters instructing insurance companies to identify and inform policyholders whose insurance claims were denied for mental-health care that they have a right to have those claims re-evaluated, provided that they were…

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Comments | Topics: health insurance, Mike Kreidler

October 13, 2014 at 4:06 PM

State offers auto-renewal of health insurance

Most Washington residents who bought individual health insurance through the state’s marketplace will be able to automatically renew their coverage for 2105 without taking any additional steps. The Washington Health Benefit Exchange, which runs the marketplace, is sending out renewal letters to its customers beginning this week. Insurance companies are sending their own letters to inform…

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Comments | Topics: Affordable Care Act, health insurance, Healthplanfinder

September 2, 2014 at 6:11 PM

Seattle Children’s, Regence settle dispute over insurance networks

A nearly yearlong dispute in which Seattle Children’s hospital sought to make sure its facilities and experts were included in Washington state health insurance plans was finally resolved Tuesday. Children’s and Cambia Health Solutions, parent company of Regence BlueShield and BridgeSpan Health, announced that the hospital will be part of the insurers’ network of health-care providers. “This…

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Comments | Topics: Affordable Care Act, health insurance, Mike Kreidler

August 7, 2014 at 5:33 PM

Frustrated health-exchange customers can pay insurers directly

By DONNA GORDON BLANKINSHIP The Associated Press A major fix to problems plaguing the state’s answer to health-care reform was announced Thursday, allowing exchange customers to pay insurers directly, as they do in some other states. While direct payments already have been an option, Gov. Jay Inslee, Insurance Commissioner Mike Kreidler, and the Washington Health Benefit Exchange made…

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Comments | Topics: Mike Kreidler, Washington Health Benefit Exchange, Washington Healthplanfinder

June 25, 2014 at 4:45 PM

Transgender discrimination is illegal, state reminds health insurers

In a letter Wednesday to health insurance companies, the state makes clear that it is illegal to discriminate against transgender policyholders under both state law and the federal Affordable Care Act. Specifically, an insurance company cannot deny services for a transgender person solely on the basis of gender status. Additionally, the health insurer must pay…

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Comments | Topics: Affordable Care Act, health insurance, Mike Kreidler

June 18, 2014 at 2:49 PM

Seattle Children’s argues in favor of rulings by embattled OIC judge

OIC Chief Presiding Officer Patricia Petersen testifying before the Senate's Law and Justice Committee. TVW

OIC Chief Presiding Officer Patricia Petersen testifying before the Senate’s Law and Justice Committee. TVW

Seattle Children’s hospital on Tuesday made another move in the high-profile legal tussle over which facilities and doctors must be included in insurance plan networks in order to adequately protect customers.

The case — already significant because of the importance of the network adequacy debate — became even more controversial following allegations that the judge overseeing the dispute has been unfairly influenced. The allegations came from the judge herself, Patricia Petersen, chief presiding officer at the Office of the Insurance Commissioner.

The controversy started last summer, when the OIC approved insurance plans to be sold in Washington’s health insurance marketplace. Those plans included ones that did not have Seattle Children’s in their coverage. In response, the hospital demanded a hearing with OIC, arguing that the plans are inadequate for failing to include their facility because of the unique services provided there.

There has not been a hearing yet, but from December to early May, Petersen has issued orders concerning the case.

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Comments | Topics: health insurance, Mike Kreidler, network adequacy

June 16, 2014 at 6:12 PM

Whistleblower testifies before state senators on fairness of OIC

State senators on Monday heard testimony as to whether people and companies who challenge rulings by some state agencies are getting a fair shake.

Specifically, the Senate’s Law and Justice Committee held a work session to delve into the role of the administrative hearing officer that presides over disputes at the Office of the Insurance Commissioner. They were considering three ideas that could be shaped into proposed laws that would give the hearing officers greater independence when deciding cases.

The work session was held in response to a high-profile dispute in which the OIC’s Chief Presiding Officer Patricia Petersen says she was inappropriately contacted by an OIC official and pressured to decide cases in line with what Insurance Commissioner Mike Kreidler wanted.

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Comments | Topics: Affordable Care Act, health insurance, Mike Kreidler

June 4, 2014 at 1:13 PM

Beleaguered insurance judge to speak at upcoming Senate session

Patricia Petersen, recently suspended as the state insurance office’s chief hearings officer, will break her silence to speak at a Senate work session later this month. Her lawyer, Phil Talmadge, a former state Supreme Court justice who as a state legislator helped create a state office for administrative hearings, said she will speak about judicial independence,…

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Comments | Topics: Jim Odiorne, Mike Kreidler, Office of the Insurance Commissioner

May 21, 2014 at 11:03 AM

Auditor’s office won’t investigate judge’s claims of pressure on cases

The State Auditor’s Office has declined to investigate a whistleblower complaint by the Office of the Insurance Commissioner’s administrative-law judge, who alleged that she has been improperly contacted and pressured by the OIC’s chief deputy on cases before her.   In a letter to the insurance office’s Chief Presiding Officer Patricia Petersen, the auditor’s whistleblower manager,  Jim…

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Comments | Topics: ex parte communications, Jim Odiorne, Mike Kreidler

May 13, 2014 at 5:02 PM

More 2015 health plan choices likely for exchange shoppers

On average, the rate increase requested for 2015 individual health plans is 8.25 percent ­– the lowest in seven years, according to figures kept by the Office of the Insurance Commissioner. That “relatively low” weighted average increase in proposed premiums is just one of the developments that has pleased Insurance Commissioner Mike Kreidler, whose office will now be…

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Comments | Topics: BridgeSpan Health Co., Healthplanfinder, individual health insurance

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