Access to Care

Medicaid Expansion Produces Mixed Results on Health Disparities

by Kelsey Waddill

Medicaid expansion has had mixed results in reducing health disparities and advancing coverage, utilization, and quality of care equity, an issue brief from Kaiser Family Foundation revealed. The...

Humana Ups COVID-19 Testing With At-Home, Drive-Thru Testing

by Sara Heath

Humana is expanding its COVID-19 testing strategy by providing members both with access to at-home testing as well as drive-thru testing at Walmart locations, the payer recently announced. Humana will...

Cigna, Priority Health Form Strategic Alliance For Employer Plans

by Kelsey Waddill

Priority Health and Cigna are creating a strategic alliance to offer greater in-network options for employer-sponsored health plans in Michigan, the payers announced. “This Strategic Alliance...

Medicaid Expansion Impacts Contraception Access, Women’s Health

by Kelsey Waddill

Medicaid expansion has an impact on women’s health by opening up access to longer-acting, effective contraceptives that can prevent unwanted pregnancies in adults and adolescents, a study...

Prior Authorizations Discriminate Against HIV Patients in the South

by Kelsey Waddill

Qualified health plans on the Affordable Care Act marketplaces in the South are more likely to impose prior authorizations for HIV therapies, creating barriers to treatment for HIV patients, a study...

How Medicaid Managed Care Plans Address SDOH, Expand Care Access

by Kelsey Waddill

Medicaid managed care plans are innovating telehealth solutions and telehealth coverage, addressing social determinants of health, and improving access to care and informed provider selection for...

AHIP Releases COVID-19 Priorities as States Consider Re-Opening

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) teamed with chief medical officers from member health plans to develop a list of principles related to coronavirus care that plans should prioritize as...

BCBS MA Deploys Employees for Contact Tracing, Staffing Support

by Kelsey Waddill

Blue Cross Blue Shield of Massachusetts (Blue Cross) is deploying its employees to support statewide efforts against the coronavirus by helping in contact tracing and working at Boston Hope, the state...

3 Ways COVID-19 Is Changing Payer Utilization of Technology

by Kelsey Waddill

Payers technology use is evolving in many ways to meet consumer needs during the coronavirus pandemic. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent...

Payers, Providers Under Fiscal Strain Rally To Combat COVID-19

by Kelsey Waddill

Despite past conflicts, now more than ever payers and providers are showing support for each other in the face of the growing pandemic. For more coronavirus updates, visit our resource page,...

Top 10 Payers’ Strategies for Broadening Access to COVID-19 Care

by Kelsey Waddill

Update 4/7/2020: This article has been updated to reflect Health Net is a subsidiary of Centene and that Centene has acquired WellCare. In light of the coronavirus outbreak, payers across America...

Fiscal, Health Challenges That Coronavirus Poses To The Uninsured

by Kelsey Waddill

While for many in the US the novel strain of coronavirus sweeping the nation seems to pose little threat and some question the need for stringent mitigation measures, researchers from the Kaiser Family...

CMS Targets Medicare Advantage Beneficiaries In COVID-19 Efforts

by Kelsey Waddill

CMS has released guidance regarding how Medicare Advantage and Part D Plans can properly respond to the COVID-19 outbreak. For more coronavirus updates, visit our resource page, updated twice...

How the Affordable Care Act Impacted the Individual Market

by Emily Sokol, MPH

Reforming the Affordable Care Act (ACA) has had lasting impacts on the individual health insurance market. Intending to reshape a dysfunctional system, the ACA included incentives for insurers to...

Analysis of Claims Data Shows 200% Spike in Alzheimer’s, Dementia

by Samantha McGrail

The number of commercially insured Americans age 30 to 64 diagnosed with early-onset dementia or Alzheimer’s disease increased by 200 percent from 2013 to 2017, according to an assessment of...

SCOTUS Will Review ACA Constitutionality, Decision Expected 2021

by Kelsey Waddill

Update 03/03/2020: This article has been updated to include a statement from America’s Health Insurance Plans (AHIP) on the Supreme Court’s decision to review the case. The Supreme...

GAO: New DOD Health Plan Fails to Improve Patient Satisfaction

by Kelsey Waddill

The reformed Department of Defense health plan is not improving patient satisfaction, according to the Government Accountability Office (GAO). GAO found that a year after establishing TRICARE...

Experts Lambast CMS MFAR as Detrimental to Employers, Patients

by Kelsey Waddill

The US Chamber of Commerce is the most recent opponent to the CMS Medicaid Fiscal Accountability Regulation (MFAR), joining governors, providers, and payers in its disavowal of the rule’s...

4 SDOH Barriers Payers Can Address to Drive Access to Care

by Kelsey Waddill

While access to care progress has stalled nationwide, payers can continue to move it forward within their own businesses by addressing four key barriers. Uninsurance is dropping, yet access to care...

Humana Primary Care Clinics Boost Senior Patient Care Access

by Kelsey Waddill

Humana’s subsidiary Partners in Primary Care is entering a joint venture with Welsh, Carson, Anderson and Stowe (WCAS) to give Medicare Advantage members access to care through value-based...