Affordable Care Act marketplace beneficiaries who enroll in plans during special enrollment periods tend to exhibit higher healthcare spending, a recent Health Affairs article revealed.
The...
As Blue Cross and Blue Shield of Kansas City (Blue KC) relied on its social needs referral network to meet regional social determinants of health demands during the coronavirus pandemic, the payer...
While by and large patients were under the same waivers for coronavirus testing, payers have implemented a broad range of strategies to handle coronavirus treatment cost-sharing for the long term, a...
A value-based care program from Blue Cross and Blue Shield North Carolina (Blue Cross NC) saw cost savings and quality improvement and increased provider participation in its first year, the payer...
Payers can reduce unnecessary healthcare spending by incentivizing consumers to choose lower cost healthcare providers, a study from the Pioneer Institute focusing on Massachusetts-based payers...
As major payers release their second quarter earnings reports, policymakers are growing wary of the skyrocketing revenue, culminating in the House Committee on Energy and Commerce’s investigation...
Missouri will move forward with its Medicaid expansion amendment, as 53 percent of the nearly 1.3 million voters approved the measure, local news outlets reported. The state is the second to expand...
WellCare, a subsidiary of Centene Corporation, announced a new partnership lasting through December 2020 that aims to bolster Medicare Advantage the social determinants of health support through better...
The blow to employer-sponsored plans in the final three quarters of 2020 could be lower than anticipated largely because coronavirus impacts have concentrated on lower income populations, Robert Wood...
Over half of the public rate filings from payers on the individual and small group health insurance market are proposing 2021 premium rates changes between a two percent decrease and a six percent...
Updated 7/22/20: This article has been updated to reflect that Wellvolution is a Blue Shield of California program. A previous version said Blue Shield of California partnered with...
UnitedHealth Group was the first major payer to release it second quarter earnings report, offering insight into how the coronavirus pandemic impacted the payer industry following the first quarter...
America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) have called on Congress to ensure access to coronavirus care and healthcare coverage through federal...
Private payers are paying far more for coronavirus-related healthcare services than Medicare, a recent Kaiser Family Foundation brief discovered.
“Private insurance payments for inpatient...
As graduates entered a job market stalled by the pandemic, the United Hospital Fund recommended that the state of New York begin offering tax credits toward health insurance premiums linked to student...
North Carolina’s legislature has decided to put off Medicaid expansion for another year, but passed a Medicaid transformation bill to continue the transition from fee-for-service to privatized...
Updated 7/7/2020: This article has been updated to reflect that CitiusTech is solely responsible for the “COVID-19 Impact on Quality Management” survey. A previous version associated...
The recent surge in furloughed employees and unemployed individuals is bringing to light one major problem: how are these people going to get health insurance? Made worse by the growing pandemic,...
Humana is expanding its COVID-19 testing strategy by providing members both with access to at-home testing as well as drive-thru testing at Walmart locations, the payer recently announced.
Humana will...
Payers are finding new ways to tackle social determinants of health as new challenges emerge, America’s Health Insurance Plans (AHIP) explained.
Much of the common knowledge that payers have...
