Coronavirus

How Coronavirus Influenced Medicare Chronic Disease Management

by Kelsey Waddill

Medicare chronic disease management became even more challenging during the coronavirus pandemic, a recent Commonwealth Fund study confirmed. Chronic conditions are common among Medicare beneficiaries...

Employer-Sponsored Health Plans See Strong Member Satisfaction

by Kelsey Waddill

Most Americans who have employer-sponsored health plans expressed confidence in their health plans’ support and financial protection, according to a survey conducted on behalf...

New CMS Guidance Could Increase COVID-19 Testing Rates, Spending

by Kelsey Waddill

Since the Biden administration has eliminated the ability to deny coronavirus testing claims due to “medical necessity,” payers should expect higher coronavirus testing rates across all...

Payer Eyes Health Equity With COVID-19 Vaccine Access Network

by Hannah Nelson

In efforts to achieve health equity, Blue Shield of California has enhanced its provider network to expand COVID-19 vaccine access in underserved communities. California’s enhanced provider...

How the $1.9T COVID-19 Relief Package Impacts Medicaid, CHIP

by Kelsey Waddill

Congress passed a $1.9 trillion relief package to support the nation’s coronavirus pandemic response efforts and the law could have particular significance for Medicaid and CHIP programs. The...

How Medicaid Work Requirements Could Impact Low-Income Women

by Kelsey Waddill

As policymakers decide the fate of Medicaid work requirements, the impacts of these policies are becoming more clear, particularly their effects on low-income women, a Kaiser Family Foundation (KFF)...

AHIP, BCBSA Pilot Supports Equitable COVID-19 Vaccine Delivery

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) have promised to use their data analytics, partnerships, and member engagement platforms and strategies to...

Rescinding ACA May Worsen Racial Health Disparities, COVID-19

by Hannah Nelson

If the Patient Protection and Affordable Care Act (ACA) protections for pre-existing condition coverage are rescinded, COVID-19 could leave many Americans without health insurance, a disproportionate...

Cost Could Still Be A Deterrent In ACA Special Enrollment Period

by Kelsey Waddill

The special enrollment period on the Affordable Care Act marketplace opened to boost healthcare coverage during the coronavirus pandemic, but familiar barriers—namely, cost—could still...

MA Members Could See High Out-of-Pocket Costs For COVID-19

by Hannah Nelson

High out-of-pocket costs may dissuade some Medicare Advantage beneficiaries from seeking COVID-19 care as payers eliminate cost-sharing waivers, according to a new American Journal of Preventive...

COVID-19 Lowered Medicare Care Utilization Across Races, Services

by Kelsey Waddill

In the first six months of 2020, fee-for-service Medicare utilization dropped across categories of services, races, and dual eligibility statuses, a recent Avalere study confirmed. Avalere researchers...

CMS Moves to Rescind Medicaid Work Requirements As Anticipated

by Kelsey Waddill

The Biden administration has reversed CMS policy on Medicaid work requirements, according to letters the agency sent to multiple Medicaid programs. In a letter to Wisconsin’s Medicaid director...

Payer Extends COVID-19 Treatment, Telehealth Benefits Through 2021

by Hannah Nelson

To ensure care access as the pandemic continues, Blue Cross and Blue Shield of Minnesota has extended eligibility for telehealth benefits and COVID-19 treatment waivers through the end of this...

Payer Aids Federally Qualified Health Centers in COVID-19 Efforts

by Kelsey Waddill

Anthem Blue Cross has given more than $2 million to federally qualified health centers in order to boost California’s efforts against the coronavirus pandemic, the payer shared. “As one of...

Payers Expect Enrollment to Offset Normalized Healthcare Spending

by Kelsey Waddill

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...

COVID-19 Delays Value-Based Care Contract Negotiations

by Emily Sokol, MPH

Challenges to value-based care contract negotiations existed before COVID-19, but the pandemic set the movement back even further. Instead, provider and payer organizations have shifted focus from...

Payers Prepare For Costs in 2021 After COVID-19 Deferred Care

by Hannah Nelson

In the year before the pandemic, the US spent a whopping $3.6 trillion on healthcare, with payer spending comprising a third, or $1,195 billion, of that, according to a report from the Congressional...

Anthem Earnings Call Projects COVID-19 Vaccine Impact, ACA Growth

by Kelsey Waddill

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...

Patient Navigators Call For Funding To Promote Marketplace Care Access

by Hannah Nelson

Patient navigators in charge of helping consumers on the Affordable Care Act (ACA) marketplaces have a number of recommendations for successful enrollment periods during the pandemic and beyond,...