Access to Care

UnitedHealthcare Vision, Dental Plans Lead in Customer Satisfaction

by Victoria Bailey

UnitedHealthcare’s vision and dental plans received the highest customer satisfaction scores in 2021, JD Power’s 2021 satisfaction reports found. Vision and dental plan overall...

Trends in 2021 Affordable Care Act Marketplace Insurers, Locations

by Victoria Bailey

The number of insurance options in the Affordable Care Act (ACA) marketplace has increased since 2018 with nearly 1,500 counties having access to three or more marketplace payers, a Health Affairs...

Affordable Care Act Marketplace Premium Growth Outpaced Income

by Kelsey Waddill

An increasing share of middle class families faced barriers related to care costs on the Affordable Care Act marketplace from 2015 to 2019, a Health Affairs study found. The researchers used American...

Aetna Will Offer Some Gene Therapies As Standard Medical Benefit

by Kelsey Waddill

Aetna members will have better access to gene therapies in 2022, the payer announced. “Gene therapy is poised for significant growth in the coming years, and the promise of durable improvement...

More Employers Turn to Employer-Sponsored Primary Care Clinics

by Kelsey Waddill

Employer-sponsored primary care clinics are a steadily growing trend among large employers and one that experts anticipate to persist as a result of the coronavirus pandemic, according to a study...

VA Demonstrates How Health Plan Network Size Impacts Utilization

by Kelsey Waddill

When the Veterans Affairs department (VA) expanded its health plan network size, enrollee utilization and access to care improved, according to a study published in the JAMA...

CVS Health to Offer Coverage for Moderna COVID-19 Booster Shot

by Victoria Bailey

CVS Health has announced that it will offer Moderna COVID-19 booster shots to eligible individuals at more than 9,800 pharmacy locations. The CDC, following guidance from the Advisory Committee on...

Members Find Private Payer Mental Healthcare Networks Inadequate

by Kelsey Waddill

Private health plan members have found that payers’ mental healthcare networks are less adequate than their medical health networks, a study published in the JAMA Network Open revealed. There...

UnitedHealthcare Targets Prenatal Care, Maternal Health Outcomes

by Victoria Bailey

UnitedHealthcare (UHC) has provided $175,000 to medical practice UWH of North Carolina to support group prenatal care and boost maternal health outcomes for pregnant people across the state. UWH of...

Financially Burdened Seniors Struggle to Cover Healthcare Costs

by Victoria Bailey

Healthcare costs continue to be a barrier for seniors, with over one in four older Americans facing high out-of-pocket costs and lacking emergency funds to pay for healthcare services, according to a...

Continuous Marketplace Coverage Led to Increased Prenatal Care Use

by Victoria Bailey

Affordable Care Act (ACA) Marketplace coverage for pregnant people before, during, and after pregnancy was associated with higher rates of prenatal care use compared to people who had discontinuous...

Walmart Increases Self-Funded Employer Access to Cost-Effective Care

by Victoria Bailey

Walmart has partnered with a digital platform to provide self-funded employers and their employees with access to cost-effective healthcare. Employers across the country will be able to utilize...

Impact of Fixed American Rescue Plan Act Subsidies on Families

by Victoria Bailey

Nearly one million uninsured children and parents could gain healthcare coverage if the American Rescue Plan Act (ARPA) subsidies become permanent, according to an Urban Institute report. The enhanced...

Humana Expands Medicare Advantage Plans, Benefits in Tennessee

by Victoria Bailey

Humana has announced several Medicare Advantage expansions for Tennessee in 2022, including a Dual Eligible Special Needs Medicare Advantage (D-SNP) plan and COVID-19 testing, treatment, and...

How Medicaid Expansion Impacted Site of Care, Outcomes in MI

by Kelsey Waddill

Michigan’s Medicaid expansion effort successfully increased access to a regular care site and improved health statuses for many minorities, but did not impact poor mental health days, a study...

Medicare Advantage COVID-19 Hospitalizations Were Lower Than FFS

by Kelsey Waddill

Updated 11/10/21: This article has been updated to elucidate the differences between Medicare Advantage beneficiaries' and fee-for-service Medicare beneficiaries' use of telehealth and...

275K Missourians Eligible for Coverage Following Medicaid Expansion

by Victoria Bailey

Following Missouri’s approval for Medicaid expansion, more than 275,000 individuals are eligible for healthcare coverage, CMS reported. Missouri will receive around $968 million from the...

CMS Makes Changes to Open Enrollment Period, Introduces New SEP

by Victoria Bailey

CMS has taken several steps to improve and expand access to healthcare coverage, including extending the open enrollment period for the Affordable Care Act marketplace. The agency added 30 days to the...

BMA Asks Congress to Secure Medicare Advantage Benefits in Reform Bill

by Victoria Bailey

Better Medicare Alliance has commended Congress for including additional benefits in its proposed Budget Reconciliation plan for Medicare reform and is urging lawmakers to maintain the structure that...

Payer Extends Medicare Advantage Footprint to Reach 5M Seniors

by Victoria Bailey

SCAN Health Plan is expanding its Medicare Advantage footprint to Arizona, Nevada, and additional counties in California to reach more than five million senior beneficiaries. SCAN currently provides...