Access to Care

Aetna Medicaid Plan Recognized by NCQA for Health Equity Efforts

by Victoria Bailey

Aetna’s Medicaid plan in California, Aetna Better Health of California, has received the National Committee for Quality Assurance’s (NCQA) Multicultural Health Care Distinction,...

ACA Preventive Care Coverage Requirement Boosts Access to Care

by Victoria Bailey

The preventive care coverage requirement under the Affordable Care Act (ACA) helped improve no-cost access to care, including cancer screenings, vaccines, and contraceptive care, according to an Urban...

52% of OR Medicaid Providers Never Saw Medicaid Enrollees in 2018

by Kelsey Waddill

The Oregon Medicaid program’s provider directories may have included hundreds or thousands of providers who never saw Medicaid enrollees, according to a Health Affairs...

Medicare Advantage Plans See High Enrollment, Low Spending in 2022

by Kelsey Waddill

Medicare Advantage plans are seeing low healthcare spending, strong diversity, and high enrollment in 2022 compared to 2021 and earlier years, according to the Better Medicare Alliance’s 2022...

Medicaid Beneficiaries Face Barriers to Cancer Care Access

by Victoria Bailey

Despite the growing number of people receiving healthcare coverage from Medicaid, Medicaid beneficiaries faced barriers to accessing cancer care at high-quality facilities, a study published in JAMA...

ARPA Subsidy Expiration will Impact Reproductive Healthcare Access

by Victoria Bailey

Around 850,000 women could lose health insurance coverage and reproductive healthcare access in 2023 if policymakers do not extend the premium tax credits under the American Rescue Plan Act (ARPA),...

UHC Adds Health System to CO Doctor Plan to Boost Patient Care Access

by Sarai Rodriguez

HealthONE, the most extensive Denver-based healthcare system, announced it would be joining the UnitedHealthcare Doctors Plan of Colorado, expanding its network size to enhance patient care access. By...

Removing Prior Authorizations Had Mixed Effect On OUD Care Uptake

by Kelsey Waddill

Beneficiaries may face barriers to substance abuse care when states impose prior authorizations for substance use disorder treatments, but a broad range of policies can influence Medicaid...

Payers Respond to SCOTUS Overturning Abortion Rights Case

by Kelsey Waddill

Updated 6/28/2022: This article has been updated to include statements from the Association for Community Affiliated Plans (ACAP), Robert Wood Johnson Foundation, and the American...

Colorado Implements Section 1332 Waiver to Advance Health Equity

by Kelsey Waddill

The US Department of Health and Human Services (HHS) has approved the “Colorado Option,” a Section 1332 state innovation waiver amendment intended to address health equity in the Centennial...

Affordable Care Act Impacted Patient Experience, Not Utilization, Cost

by Kelsey Waddill

The implementation of the Affordable Care Act coincided with some improvements in patient experience and access to care for low-income enrollees, but did not significantly impact their care utilization...

Anthem Subsidiary Brands Aim to Boost Member Care, Unify Health Plans

by Victoria Bailey

Ahead of its rebranding to Elevance Health, Anthem has announced two subsidiary brands that aim to improve member care through technology services and unite its public and private health...

LGBT Medicaid Beneficiaries Have Higher Rates of Unmet Care Needs

by Victoria Bailey

Overall, lesbian, gay, bisexual, and transgender (LGBT) Medicaid beneficiaries experienced similar care access as heterosexual beneficiaries and privately insured individuals, but LGBT individuals were...

Californians Report Good Quality of Care, Easy Access to Care

by Kelsey Waddill

Many Californians expressed that their quality of care and care access overall was good, but accessing a diverse healthcare workforce remains a challenge, according to a survey conducted on behalf of...

Anthem Announces Partnership to Support Maternal Mental Healthcare

by Kelsey Waddill

Anthem has announced that it will offer a digital solution to mothers in order to support maternal mental healthcare needs. The payer partnered with a vendor, Happify Health, to offer a tool that...

Consumers Say Insurers Are Responsible for Access to Mental Healthcare

by Kelsey Waddill

Most insured Americans stated that their health plans covered their mental healthcare needs completely or partially, with only three percent saying that they had no mental healthcare coverage,...

Payer Health Equity Elusive for LGBTQ+, But Improvements Are Ahead

by Mark Melchionna

Members of the LGBTQ+ community reported varying experiences of discrimination in the health insurance industry but indicated that payer health equity may be improving, according to a survey from...

More Consumers Find Transparency Tools Accessible, Useful in 2022

by Kelsey Waddill

More consumers reported that their health plans are offering transparency tools and overall consumer awareness about the availability of transparency tools has grown, according to a study conducted on...

SCAN Group Acquires Home Healthcare Organization, Forms New Practice

by Kelsey Waddill

SCAN Group has acquired an organization that delivers home healthcare services to seniors in the group’s first acquisition in company history.  The Residentialist Group (TRG) is an...