AHIP is pushing back on the proposed 2024 Medicare Advantage advance notice because it presents a dramatic rate cut that would impact beneficiaries, Matt Eyles, president and chief executive officer of...
BlueCross BlueShield of Tennessee (BCBST) has published its first health equity report, revealing the racial care disparities that Tennessee residents face in behavioral healthcare, maternal...
As the US enters a post-pandemic era with the end of the public health emergency, healthcare payers will want to choose the right partners to take them into the next stage. They might locate new...
Physicians Health Plan of Northern Indiana (PHP) is looking to improve primary care access for members by partnering with healthcare provider Premise Health to open a primary care center for clients...
Updated 2/17/2023: This article has been updated to reflect a correction to the original data. The previous version of this article said that 26 percent of ACA plans had deductibles between $4,501...
AHIP is urging CMS to consider the potential adverse impacts of its proposed rule for Medicare Advantage policy and technical changes, specifically raising concerns about the star rating changes, new...
Employer-sponsored health plans paid more than Medicare for most physician-administered drugs with the highest use and the highest spending, according to data published in JAMA Health Forum.
In...
The Department of Health and Human Services (HHS) has released three models intended to bring down prescription drug spending for consumers in Medicare and Medicaid.
“These selected models will...
Medicaid managed care organizations have a key role to play in the public health unwinding, a Kaiser Family Foundation (KFF) brief found.
The brief’s findings are based on two study components:...
Humana, and its philanthropic arm, the Humana Foundation, have advanced its commitment to health equity by unveiling an advanced strategy that focuses on addressing social determinants of health (SDOH)...
Out-of-pocket costs for buprenorphine prescriptions for opioid use disorder treatment decreased between 2015 and 2020, but costs varied by payer, according to a study published in JAMA Network...
Non-group qualified health plans (QHPs) on the Affordable Care Act (ACA) marketplace denied, on average, almost 17 percent of in-network claims in 2021, according to an issue brief from the Kaiser...
Centene must pay Medi-Cal, California’s state Medicaid program, over $215 million to settle allegations that it two of its managed care plans overcharged the program by reporting inaccurate...
HHS announced that the coronavirus public health emergency (PHE) will end on May 11, 2023, giving states 90 days to finalize arrangements for relevant policy changes.
“We have come to this point...
High deductible health plan (HDHP) enrollment hit a record high in 2021, with nearly six out of ten employer-sponsored health plan members enrolled in a high deductible health plan, according to a...
Humana has signed a five-year agreement with ChenMed, solidifying access to in-network, senior-focused primary care for Medicare Advantage members.
The agreement continues the decades-long...
Nearly nine in ten employers plan to adjust their vendor partnerships over the next two years to improve employee wellbeing benefits, according to a survey from Willis Towers Watson (WTW).
The survey...
Two big shifts occurred among employers between 2020 and 2022: more employers reported that their health plans shared safety and quality of care data and more employers did not find their health...
Enrollment in Medicaid and the Children’s Health Insurance Program (CHIP) has increased by 20.2 million beneficiaries since the start of the COVID-19 pandemic, according to an analysis from the...
The Alliance of Community Health Plans (ACHP) was among around 50 organizations—including AHIP and Blue Cross Blue Shield Association—to sign a letter to HHS that supported fully aligning...
