Blue Shield of California’s latest partnership focuses on empowering member decision-making for better chronic disease prevention and management, specifically for chronic kidney...
As major payers release their second quarter earnings reports, policymakers are growing wary of the skyrocketing revenue, culminating in the House Committee on Energy and Commerce’s investigation...
As part of its product and footprint expansion in 2021, Alignment Healthcare (“Alignment”) plans to launch a virtual Medicare Advantage plan, the payer announced on August 6.
“Lack...
A lawsuit was filed against Cigna on August 4, 2020 for $1.4 billion in false and fraudulent risk adjustment claims between 2012 and 2017, according to a court filing obtained by Axios.
The...
Around one-fifth of Americans continue to rely on consumer assistance to navigate their healthcare coverage options, but not all of them can access the help that they need, a Kaiser Family Foundation...
Risk factors for colorectal cancer are growing more prevalent even in younger age groups, meaning payers need to improve colorectal cancer preventive care, a Blue Cross Blue Shield Association (BCBSA)...
Medicare Advantage plans and other stakeholders reported that CMS waivers successfully enabled Medicare and Medicare Advantage telehealth access during the coronavirus pandemic, but several barriers...
Missouri will move forward with its Medicaid expansion amendment, as 53 percent of the nearly 1.3 million voters approved the measure, local news outlets reported. The state is the second to expand...
The Centers for Medicare and Medicaid Services (CMS) announced that it will allow payers to use premium credits to temporarily lower the individual and small group exchange premiums for...
WellCare, a subsidiary of Centene Corporation, announced a new partnership lasting through December 2020 that aims to bolster Medicare Advantage the social determinants of health support through better...
Oscar Health has introduced a new insurance product, Virtual Primary Care, that aims to provide members with access to free virtual care and telehealth services.
“Virtual Primary Care is the...
Humana will be partnering with a chronic kidney disease management and awareness organization to provide home healthcare and care coordination to Medicare Advantage members, the payer recently...
The Massachusetts State Senate has passed a bill that would introduce step therapy reform, restricting a practice that payers commonly use to decrease patient prescription drug...
The average basic premium for Medicare Part D prescription plans will be the second lowest average Part D premium since 2013, CMS announced.
“The Trump Administration has prioritized policies...
Contrary to expectations, there may not be a correlation between deductible costs and member outcomes for commercial high deductible plans, according to a study published in JAMA Open Network.
The...
The blow to employer-sponsored plans in the final three quarters of 2020 could be lower than anticipated largely because coronavirus impacts have concentrated on lower income populations, Robert Wood...
Employers are largely underwhelmed by payer efforts in a variety of areas including value-based care payment reform, resulting in low employer satisfaction rates, according to a survey from The...
Although health savings accounts are an important tool for enrollees in high deductible health plans, a large percentage of enrollees in these plans either do not have health savings accounts or do not...
The blow to employer-sponsored plans in the final three quarters of 2020 could be lower than anticipated largely because coronavirus impacts have concentrated on lower income populations, Robert Wood...
More than six in ten employers said that they would be partnering with their healthcare payer in the workplace transition back to the office, an Optum survey found.
The survey revealed that only 16...
