As major payers like Centene and Cigna emerge from an atypical year, they are predicting in their fourth quarter 2020 earnings reports that revenues will increase in 2021, despite utilization and...
The recent executive order from the Biden administration represented a reversal in US healthcare policy that could have major implications for Medicaid and the Affordable Care Act...
Aetna has updated its coverage policies to correct care disparities and to include gender-affirming surgeries for transgender women in most of its commercial plans, CVS Health announced.
Aetna worked...
Uninsured Americans may not be examining all of their options in Medicaid or on the Affordable Care Act marketplace, a Robert Wood Johnson Foundation and Urban Institute study discovered.
In 2019, the...
The Biden administration has signed an executive order that sought to strengthen Medicaid and Affordable Care Act marketplace coverage and opened a special enrollment period on the Affordable Care...
Coronavirus vaccine distribution and the new administration may have an impact on payers’ costs and marketplace growth in 2021, Anthem’s fourth quarter of 2020 earnings call...
Medicaid expansion under the Affordable Care Act (ACA) led to increases in the identification of undiagnosed HIV infections and the use of HIV prevention services, according to new research out of the...
Nevada’s state senate might consider a public option based on an existing public program or a model that creates a new Silver or Gold public option plan on the Affordable Care Act...
As the American healthcare system struggles to distribute the coronavirus vaccines to the public, major payers have demonstrated a range of ways that health insurers can be involved in this effort,...
Certain Affordable Care Act marketplace policies need to be tweaked in order to support greater consistency across transparency data reporting processes, a recent Kaiser Family Foundation...
The Biden Administration’s coronavirus relief plan seeks to expand healthcare coverage during the pandemic by increasing and extending COBRA and Affordable Care Act premium subsidies and...
Affordable Care Act (ACA) expansion led to reduced income inequality, especially in states that enhanced Medicaid, according to a new study published in Health Affairs.
Additionally, the ACA reduced...
CMS has released its final snapshot for Affordable Care Act enrollment on the federal platform for the 2021 open enrollment period.
This year’s open enrollment was unique in part due to the...
The Affordable Care Act marketplace presents many opportunities for developing new strategies and technological solutions, particularly for states that are transitioning to state-based marketplaces,...
After a successful Medicare Advantage (MA) rewards program, Blue Cross and Blue Shield of Kansas City (Blue KC) has expanded their partnership with a member engagement company to cover ACA...
The American Benefits Council (ABC) issued a release outlining what payers should expect legislatively post-election including COVID-19 relief and stimulus legislation, Affordable Care Act expansion,...
CMS has released preliminary data on the 2021 federal open enrollment season, which saw 8.2 million people select health plans on the Affordable Care Act federal exchange.
“Annual enrollment...
Although utilization has started to return to normal levels, payers have continued making a profit during the third quarter of 2020, a Kaiser Family Foundation brief discovered.
“In this brief,...
CMS has issued a final rule to regulate the Affordable Care Act risk adjustment data validation program.
The risk adjustment data validation program, run by HHS, certifies the integrity of data that...
CMS has proposed diminishing federal exchange fees in order to lower Affordable Care Act premiums on the federal exchange platform. This proposal comes as part of the 2022 payment...
