A Maine-based health insurance cooperative is suing the federal government over a decision to stop some reimbursements under the Affordable Care Act. Community Health Options, based in Lewiston, filed the lawsuit in federal court, seeking nearly $5.7 million in reimbursements that were supposed to be issued during the last three months of 2017. The nonprofit […]
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Posted inBusiness, sj-web
Community Health Options receives Silver Collar Award
The State Workforce Board’s Older Worker Committee presented the Silver Collar Award in October to Community Health Options of Lewiston and three other Maine companies as 2017’s best employers for workers over the age of 50. The Silver Collar Employer Award honors employers whose policies and practices match the needs of mature employees, capturing their […]
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Posted inLewiston-Auburn, sj-web
Judge dismisses Community Health Option’s $23 million lawsuit against feds
UPDATED 1:30 p.m.: LEWISTON — A federal court has ruled against Lewiston-based Community Health Options in its $23 million lawsuit against the federal government. But the head of Community Health Options called the decision “a temporary setback.” “We remain very confident in the merits of our case,” said CEO Kevin Lewis. Community Health Options, a nonprofit and the […]
Posted inLewiston-Auburn
Community Health Options challenged, but doing better
LEWISTON — Maine’s only health insurance co-op lost $4.5 million in November, more than double for what it had planned. However, its president says Lewiston-based Community Health Options is doing better than it was a year ago. “Despite the difficulties we’ve gone through, we’re frankly a stronger company as a result,” CEO Kevin Lewis said. […]
Posted inBusiness, Lewiston-Auburn
Community Health Options’ $23M suit to move forward
LEWISTON — A federal judge has ruled that Community Health Options, Maine’s only health insurance co-op, can proceed with its $22.9 million lawsuit against the federal government. The Department of Justice had asked to stay the co-op’s lawsuit, saying the government was dealing with several similar suits and it wanted to hold Community Health Options’ […]
Posted inLewiston-Auburn, Maine
Community Health Options ending elective abortion coverage
LEWISTON — The state’s only health insurance co-op will no longer cover elective abortions as part of individual- and small-group plans starting next year. The head of Community Health Options says the change is meant to save its members money, but women’s health advocates say that savings will come at the expense of women. “Decisions […]
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Community Health Options pulling out of New Hampshire
LEWISTON — A Maine-based health insurance co-op with customers in Maine and New Hampshire says it is leaving the New Hampshire market for the 2017 plan year. In December, Community Health Options stopped allowing an individual plan from the co-op through HealthCare.gov. The co-op decided to stop selling new plans because of significant enrollment growth […]
Posted inLewiston-Auburn
Lewiston’s Community Health Options sues government over $22.9M
LEWISTON — Community Health Options, the state’s only health insurance co-op, has filed suit against the federal government, claiming it owes the co-op nearly $23 million in promised payments. The co-op says the U.S. Department of Health and Human Services owes it money under the “risk corridor” program, which was established with the Affordable Care […]
Posted inLewiston-Auburn
Lewiston’s Community Health Options faring better than expected
LEWISTON — Months after Community Health Options stopped selling new individual health insurance plans because it was losing too much money, the state’s only health insurance co-op says its financial situation is now a little better than leaders had expected. In its first 2016 quarterly statement to the Maine Bureau of Insurance, the Lewiston nonprofit […]
Posted inLewiston-Auburn
Lewiston’s Community Health Options losing money, slashes spending
LEWISTON — Maine’s only health insurance co-op lost $31 million last year and expects to lose another $43 million this year, prompting the nonprofit to slash spending, renegotiate rates with doctors and focus more attention on the type of care patients are getting. “It’s the old mantra of right care at the right time in […]