Access to Care

Blue Shield of CA Expands Access to Mental Healthcare Resources

by Victoria Bailey

Blue Shield of California has expanded access to mental healthcare resources by connecting members to an online platform that offers personalized well-being assessments and information. The platform,...

BCBSM Funds Community-Based Orgs to Improve Senior Wellbeing

by Victoria Bailey

Blue Cross Blue Shield of Michigan has provided grant funding to community-based organizations in Washtenaw County to help support the health and wellbeing of older adults. The payer is one of three...

CareSource, Walmart Partner to Address Racial Health Disparities

by Victoria Bailey

CareSource has partnered with Walmart to address maternal and racial health disparities in underserved communities by leveraging the retail giant’s in-store community health workers. The payer,...

Blue Cross MN Partnership Expands Value-Based Care for Rural Members

by Victoria Bailey

Blue Cross and Blue Shield of Minnesota (Blue Cross) has joined forces with value-based care provider Homeward to expand access to care for Medicare Advantage members living in rural Minnesota...

Indiana Payer Partners with Provider Org to Boost Primary Care Access

by Victoria Bailey

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...

Medicare Advantage Plans Rejected 2M Prior Authorization Requests in 2021

by Victoria Bailey

Medicare Advantage plans denied 2 million prior authorization requests in 2021 and just 11 percent of those requests were appealed, according to an issue brief from the Kaiser Family Foundation...

Aetna Funding Improves Healthcare Access for Domestic Violence Survivors

by Victoria Bailey

Aetna’s Children’s Health Insurance Program (CHIP) organization, Aetna Better Health Kids, has contributed $50,000 to help increase access to trauma-informed, affordable healthcare for...

65% of Beneficiaries Were Uninsured After Medicaid, CHIP Disenrollment

by Victoria Bailey

Almost two-thirds of beneficiaries were uninsured for part or all of the year following disenrollment from Medicaid or the Children’s Health Insurance Program (CHIP), an issue brief from the...

Elevance Health Will Acquire BCBSLA, Improve Care Access in LA

by Victoria Bailey

Elevance Health has announced plans to acquire Blue Cross and Blue Shield of Louisiana (BCBSLA), with the payers aiming to improve care access, quality, and affordability for Louisiana...

FCC Allows Use of Automated Calls, Texts for Coverage, Enrollment Info

by Victoria Bailey

The Federal Communications Commission (FCC) has issued guidance allowing federal and state governmental agencies to send automated calls and text messages providing individuals with information about...

ACA Improved Access to Health Insurance for People with Schizophrenia

by Victoria Bailey

The Patient Protection and Affordable Care Act (ACA) helped boost health insurance coverage for individuals with schizophrenia, according to data published in JAMA Psychiatry. Between 0.25 percent and...

Tufts Health Plan, Harvard Pilgrim Collab Boosts Access to LGBTQ+ Care

by Victoria Bailey

Tufts Health Plan and Harvard Pilgrim Health Care have partnered with a connected healthcare delivery platform to improve access to LGBTQ+ care for commercial health plan members. The collaboration...

High Perceived Healthcare Costs Limit Coverage Access for Uninsured

by Victoria Bailey

High perceived healthcare costs are the biggest barrier to health insurance for the uninsured population, according to a survey conducted on behalf of Florida Blue. The online survey polled uninsured...

CA, AZ Payers Boost Care Access for Active-Duty Service Members

by Victoria Bailey

Blue Shield of California and Blue Cross Blue Shield of Arizona will help boost access to care for active-duty service members and their families in the TRICARE West Region by supporting a contract...

Court Says BCBSIL Cannot Exclude Coverage of Gender-Affirming Care

by Victoria Bailey

A United States district court has ruled against Blue Cross Blue Shield of Illinois (BCBSIL), stating that the payer cannot exclude coverage for medically necessary gender-affirming care in its...

Public Charge Rule Led to Delayed Healthcare Among CA Immigrants

by Victoria Bailey

Avoiding public programs due to the public charge rule, such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP), was linked to higher rates of delayed healthcare among immigrants in...

Nonprofit Sues GA for Refusing to Cover Transgender-Related Healthcare

by Victoria Bailey

The Transgender Legal Defense and Education Fund (TLDEF) has filed a lawsuit against the state of Georgia for denying coverage of transgender-related healthcare for members of the Georgia State Health...

Heat-Related Illness Diagnoses Among Private Payer Members Are Increasing

by Kelsey Waddill

Privately-insured Americans experienced higher rates of heat-related illness diagnoses in 2021 compared to 2016, in some cases a more than 37 percent increase, according to a report from FAIR...

High Deductibles Create Barriers to Screening Mammograms, Follow-Up Tests

by Victoria Bailey

High deductibles may discourage women from receiving follow-up testing after an abnormal mammogram, with one in five saying they would skip additional imaging if they knew they had to pay a deductible,...

Payer Sees Significant Mental Healthcare Utilization, Network Size Growth

by Kelsey Waddill

Mental healthcare services utilization and network size have grown significantly since 2019 among Blue Cross Blue Shield of Massachusetts (“Blue Cross”) members, according to data from Blue...