Access to Care

UPMC Health Plan Virtual Assistant Aims to Improve Access to Care

by Victoria Bailey

The University of Pittsburgh Medical Center (UPMC) Health Plan has launched a virtual tool to assist members with questions about benefits, coverage, services, and access to care. The health...

Defunct Public Charge Rule Still Impacts Immigrant Health Choices

by Kelsey Waddill

Immigrant families who are in the process of getting their green cards or temporary visas continue to avoid using government-funded programs including public payer coverage due to the 2019 public...

Medicare Advantage Dual Eligibles Have Better Access to Care

by Kelsey Waddill

Medicare Advantage dual eligibles reported better access to care and access to telehealth during the coronavirus pandemic than traditional Medicare beneficiaries did, a report from NORC at the...

Cancer Patient Outcomes Significantly Worse for the Uninsured

by Victoria Bailey

Patient outcomes are significantly worse in cancer patients who do not have insurance compared to insured patients, according to Gerard Silvestri, MD, professor of medicine and a lung cancer...

ACHP Urges Policymakers to Solidify Affordable Care Act Changes

by Victoria Bailey

The Alliance of Community Health Plans (ACHP) released recommended steps to build on the success of the Affordable Care Act (ACA) and enhance and expand coverage in the...

How Extending ACA Premium Tax Credits May Fix the Family Glitch

by Kelsey Waddill

By making all family members eligible for marketplace premium tax credits with the exception of those who have access to affordable coverage individual health insurance marketplace premiums may decline...

HHS Expands Interpretation of Sex Discrimination in Section 1557

by Kelsey Waddill

Updated 5/11/2021: This article has been updated to include a statement from David Brown, legal director at TLDEF. HHS has announced that it will enforce its interpretation of the Affordable...

High Health Plan Costs Serve as Healthcare Coverage Barrier in TX

by Hannah Nelson

Texan adults are more likely to be uninsured and forgo care due to cost barriers than the average American, according to a new survey from HealthCareInsider that raises concern for healthcare...

CVS, Aetna Care Coordination Plan May Cut Out-Of-Pocket Costs

by Hannah Nelson

CVS Health and Aetna announced a health plan set to increase care coordination and healthcare access while lowering patient out-of-pocket costs for Southern Californians. The Aetna Connected Plan with...

Medicare Beneficiaries Strongly Satisfied with Coverage in 2019

by Kelsey Waddill

In 2019, Medicare beneficiaries who were living in the community were in good health and reported satisfaction with their Medicare coverage, including Medicare costs, quality of care, and access to...

Cost-Sharing Burden Limits Access to Care for Medicare Members

by Hannah Nelson

Those enrolled in Medicare who are ineligible for Medicaid are less likely to have supplemental coverage, leading to high cost-sharing limiting patient access to care, according to a new study...

Cigna + Oscar Extend Small Business Health Plan Footprint

by Kelsey Waddill

Cigna and Oscar Health are extending the footprint of their small business health plan into California, partially in response to the economic fallout of the coronavirus pandemic, the companies...

Docs Say Payers Restored Prior Authorization in COVID Second Wave

by Hannah Nelson

As new cases of COVID-19 peaked in late 2020, most physicians reported that payers had either reinstated prior authorization policies or never relaxed policies to begin with, based on an American...

Disparities in Pediatric HMO Enrollment Draws Care Access Concern

by Hannah Nelson

Hispanic and Black children are enrolled in health maintenance organizations (HMO) at higher rates than their non-Hispanic White peers, based on research published in JAMA Network Open that draws...

Payer Provides Homebound COVID-19 Vaccine Access, Best Practices

by Hannah Nelson

To ensure COVID-19 vaccine access for homebound individuals, the Commonwealth of Massachusetts has partnered with the Commonwealth Care Alliance (CCA), a health plan that says it has proven best...

Payers Partner with Lyft to Expand Coronavirus Vaccine Access

by Kelsey Waddill

Updated 4/1/2021: This article has been updated to say that the League has 52 community health centers in Massachusetts. A previous version mistakenly stated that the health centers were located...

Humana, Epic Tackle Electronic Prior Authorizations, Member Data

by Kelsey Waddill

After collaborating for 18 months on streamlining data exchange between health plans, patients, and providers, Humana and Epic are moving into the next phase of their partnership which involves...

Payer Announces Virtual Care Option for Hearing Care Access

by Hannah Nelson

Bottom of FormUnitedHealthcare Hearing has announced a virtual care option that will expand hearing care access for employer-sponsored and Medicare Advantage beneficiaries across the country. The new...

How Medicaid Managed Care Orgs Can Confront Care Disparities

by Kelsey Waddill

Reducing racial care disparities and promoting health equity are key functions of Medicaid managed care organizations, particularly in the context of the coronavirus pandemic, an issue brief from...