Six months after the public health emergency ends, states will need to have completed certain Medicaid eligibility and enrollment processes, CMS has indicated. They must prepare in advance in order to...
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,...
In 2021, payers will expand upon lessons learned about telehealth and gene therapy in 2020 as they implement their strategies in the new year.
Listen to the full podcast to hear more details. And...
Overall, UnitedHealthcare saw members’ care activity return to normal levels in the fourth quarter of 2020, payer executives announced during UnitedHealth Group’s 2020 fourth quarter...
Independence Health Group’s (Independence) supplier diversity program had a $375 million impact on the national economy in 2018, the company recently discovered.
Independence is an independent...
Health plans would be able to improve their coronavirus vaccine distribution strategies if they had more access to coronavirus vaccine administration data, the Alliance of Community Health Plans (ACHP)...
Medically underserved areas of the country received higher payments from The Coronavirus Aid, Relief, and Economic Security (CARES) Act Provider Relief Fund. But these funds are likely insufficient for...
Update 1/12/2021: This article has been updated to reflect that the public health emergency was extended to January 21, 2021. In a previous version, some sentences said that the public health...
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,...
Medicaid cuts to address revenue shortfalls and budget deficits from COVID-19 could result in adverse long-term effects for children, according to an expanding body of research reviewed by The...
Overall healthcare spending in the US rose 4.6 percent in 2019 to hit $3.8 trillion, with private payers contributing a little more than three out of every ten healthcare dollars (31 percent), a recent...
Payers and stakeholder collaborators have the opportunity to rebuild the healthcare system into a more effective and consumer-centric system in 2021 by honing virtual care and other strategies,...
CareFirst BlueCross BlueShield (CareFirst) has announced that it would offer coronavirus vaccine coverage for all coronavirus vaccines for members, including self-insured members.
“The health...
As the 116th Congress comes to a close, America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) urged legislators to provide COVID-19 relief, calling for access to...
Many Medicare beneficiaries are transitioning from another Medicare plan to Medicare Advantage, with the migration driven in part by the opportunity for prescription coverage under Medicare Advantage,...
In an assessment of American employers across industries, three payers stood out as performing excellently in their corporate coronavirus response, according to a ranking by Forbes and...
CMS does not anticipate coronavirus-related expenditures including deferred care to impact 2022 healthcare spending, but the pandemic might impact Medicare Advantage risk scores in contract year 2023,...
Over three-quarters of Affordable Care Act marketplace enrollees will have three or more payer options in 2021, a Kaiser Family Foundation (KFF) report found.
That represents an 11 percent increase...
The Alliance of Community Health Plans (ACHP) urged Congress to take steps toward making telehealth flexibilities permanent and to ensure that coronavirus testing is available to consumers without...
Coronavirus vaccine coverage is a complex subject, as it spans multiple patient populations that typically receive vaccine coverage in different ways, a Kaiser Family Foundation brief elucidated.
As...
