Out-of-Network COVID-19 Tests Are Susceptible to Price Gouging
The coronavirus pandemic has highlighted many of the problems in the healthcare system including the practice of price gouging, according to a recent America’s Health Insurance Plans (AHIP)...CMS Announces Medicare Coverage for Short-Term COVID-19 Therapy
CMS announced that Medicare coverage will now extend to monoclonal antibodies for coronavirus treatment in certain cases. Monoclonal antibodies are lab-constructed antibodies, the National Institute...48% of Payers Concerned About Coronavirus Vaccine Effectiveness
Payers’ top coronavirus-related concern is the effectiveness of a coronavirus vaccine, Avalere researchers have discovered. The Avalere researchers deployed an online survey and received...Unemployed Turn to Affordable Care Act Health Plans for Coverage
After losing their employer-sponsored health plans, many adults are shifting to public and non-group plans, emphasizing the important role that the Affordable Care Act plays in health insurance, an...BCBS of Louisiana Promotes Mental Health Services, Telehealth Appointments
Blue Cross and Blue Shield of Louisiana is promoting mental healthcare and improving access to care as one of the most turbulent years in recent American history winds down. The statement, which does...Medicare Advantage Faces Sicker Population, Lower Payments in 2021
Medicare Advantage plans may face a sicker population and lower payments in 2021, a recent Avalere report warned. Avalere used Medicare Advantage claims from 2020 through June 2020 to assess the...UnitedHealthcare Targets Children’s Eye Health, New Vision Benefits
UnitedHealthcare has introduced added benefits to their Children’s Eye Care Program that will help young people reduce their exposure to blue light and support their overall eye health after...BCBSIL Pursues Health Equity With Pilot Program And Diversity Institute
Blue Cross and Blue Shield of Illinois (BCBSIL) has partnered with hospitals across the state in a new program that seeks to pursue health equity by focusing on mitigating health disparities for racial...Differences in Medicaid Expansion, Nonexpansion Program Policies
Differences between Medicaid expansion and nonexpansion states go beyond whether states opted into the Affordable Care Act allowance, a Health Affairs study found. Researchers have discovered Medicaid...Medicare Advantage May See 2.8% Change in 2022 Revenue, 4.5% Growth
Medicare Advantage proposed policy changes may result in a 2.82 percent average change in revenue and 4.55 percent change in growth, projected the CMS calendar year (CY) 2022 Medicare Advantage and...Lessons from Medicaid on Social Determinants of Health Innovation
The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt...The Role of Whole Person Care in Population Health, Telehealth
As the healthcare environment faces major changes, payers may face challenges in maintaining their focus on whole person care across all strategies. Given the influence of the pandemic, payers may...CMS Releases Vaccine Coverage Plan, Medicare Reimbursement Rate
CMS has released its Medicare reimbursement rate and official coverage strategy for the coronavirus vaccine when one is approved. For more coronavirus updates, visit our resource page, updated...Sponsored Article
Safeguarding Employees Through the Uncertainty of COVID-19
As more employees return to work, employers across the country have assumed responsibility for maintaining safe work environments by protecting staff from the current coronavirus and ensuring access to...34% Medicare Advantage Plans Will Offer COVID-19 Benefits in 2021
Not only have Medicare Advantage plans continued to increase their health-related supplemental benefits for 2021 open enrollment, but this year one in three plans will also offer supplemental benefits...Key Considerations for Permanently Integrating Telehealth Coverage
Telehealth is metamorphosing and payers will have to take steps in order to permanently integrate telehealth coverage as a key form of care delivery. When the coronavirus pandemic struck, Donna O’Shea, MD, chief medical officer of...Public Charge Announcement May Have Impacted Childhood Insurance
The public charge rule, which allows for citizenship denial to certain groups of immigrants who use US safety-net programs, may have led to thousands of children being uninsured when the coronavirus...Sponsored Article
