HealthPayerIntelligence News

Importance of Increased Activity to Lower Rates of Chronic Conditions

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Great news for those who enjoy walking: increasing daily step counts doesn’t just improve people’s fitness — it can also reduce their risk of chronic disease. A new study from the All...

Why Addressing Stress is the Foundation for Improved Health Outcomes

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When it comes to improving population stress levels, there’s one movement that really gives us hope: We can empower individuals with information, tools, and insights to take better control of...

Experts Assess the Effects of the No Surprises Act on Surprise Billing

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The No Surprises Act may have successfully defended consumers from surprise billing but requires reworking in other areas, an issue brief from Urban Institute and the Robert Wood Johnson Foundation...

Adjusting Medicare Drug Price Negotiation Criteria May Increase Savings

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Adjusting eligibility criteria for Medicare prescription drug price negotiation under the Inflation Reduction Act to include drugs with biosimilars and allow for drug selection based on net spending...

HHS Guidance Increases Care Access for Incarcerated Medicaid Beneficiaries

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The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has released guidance to help states boost access to healthcare for incarcerated...

83% of Consumers Are Interested in Health Savings Accounts for Non-HDHPs

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Many consumers would be interested in a type of account that was like a health savings account (HSA) in its construction but able to be attached to plans other than high deductible health plans...

HHS Finalizes Notice of Benefit and Payment Parameters for 2024

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The Department of Health and Human Services (HHS) has released the HHS Notice of Benefit and Payment Parameters for 2024 final rule which addressed network adequacy, plan selection, special enrollment...

How Specialty Pharmacies Compare to Provider, Hospital on Drug Pricing

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AHIP released updated data on drug pricing increases, comparing hospital costs and the prices that physician offices pay compared to specialty pharmacies. The payer organization analyzed price...

Coverage Gaps, Uninsurance Tied to Unmet Vision Care Needs

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Health insurance coverage gaps and uninsurance were associated with a higher risk of unmet vision care needs among adults in Ohio, indicating the importance of continuous coverage, a study published in...

Humana Continues to Address Housing Stability with $40M Investment

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Humana is investing $40 million in affordable housing development, furthering its national commitment to improve housing stability for health plan members. This round of funding brings the...

DACA Recipients Might Gain Access to ACA, Public Payer Coverage

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The US Department of Health and Human Services (HHS) has announced plans to improve health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients, offering access to Affordable...

Younger Medicare Beneficiaries Report More Issues with Care Access, Costs

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Medicare beneficiaries under age 65 reported more cost concerns, worse access to care, and lower care satisfaction compared to older beneficiaries, indicating that the program may not successfully meet...

Employees Turn to Health Savings Accounts to Manage Healthcare Costs

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Employees—particularly in younger generations—are investing in health savings accounts to manage their healthcare spending and find their employer-sponsored health plans are not enough to...

Lacking Medicaid Supplemental Insurance Tied to Racial Care Disparities

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Losing eligibility for Medicaid supplemental insurance was associated with racial care disparities among beneficiaries with incomes above 100 percent of the federal poverty level (FPL), a study...

Personalized Outreach Impacts ACA Enrollment Among Low Income Households

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Personalized outreach could improve enrollment in the lowest-cost Affordable Care Act plans among low-income households, a study published in Health Affairs found. Using the Covered California...

AHIP: More Medicare Beneficiaries Have Medicare Supplement Insurance

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More Medicare beneficiaries are purchasing Medicare Supplement insurance, as the share of individuals with the additional coverage option grew from 38 percent to 41 percent in 2021, an AHIP report...

Long-Term COVID-19 Symptoms Associated with Higher Unmet Needs

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Patients with a post–COVID-19 condition (PCC) faced higher unmet needs due to affordability and access to care barriers, a study published in JAMA Network Open found. Data for this study came...

Aetna Offers Virtual Care Tool for Gastrointestinal Chronic Diseases

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Aetna launched a partnership with a virtual care company to provide chronic disease management for members with digestive issues. Aetna’s partner offers a virtual care platform dedicated to...

58% of Payers Use Outcomes-Based Contracts for Prescription Drugs

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More than half of payers used an outcomes-based contract in 2022, with most preferring contracts with both claims-based and clinical outcomes, an Avalere survey found. The online survey was conducted...