Oklahoma is now the first state to turn to Medicaid expansion during the coronavirus pandemic, a state ballot determined.
The vote passed by a margin of less than one percentage point, local news...
The House of Representatives voted to expand the Affordable Care Act only days after the White House reiterated its resolve to dismantle the Affordable Care Act altogether.
The House of...
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will financially support local independent primary care practices as they transition to value-based care during the coronavirus pandemic,...
Tufts Health Plan is improving its coverage for substance abuse care for both commercial and government Tufts Health Plan members through a partnership with Recovery Centers of America...
Update 6/29/2020: This article has been updated to include a statement from CVS Health on Aetna’s role in the Return Ready program.
As payers support employers navigating the...
Recent investments from WellCare of New Jersey, a Centene subsidiary, demonstrate four ways that payers can dedicate resources toward mental and behavioral healthcare, including investing in provider...
Due to the coronavirus, telehealth utilization is soaring. Some payers have seen their telehealth utilization increase by 50 times their typical levels within a couple of months.
Payers and providers...
High deductible health plans pose a barrier to care by increasing costs for patients and causing scheduling and financial turbulence for providers, according to a survey of providers conducted by the...
Payers are supporting struggling dental partners directly through stipends and by covering teledental healthcare options, as in Humana’s recent decision to offer dentists additional funding.
In...
Henry Harbin, MD, psychiatrist and advisor at The Bowman Family Foundation, and his colleagues are calling on health plans to start being more transparent about provider network behavioral and mental...
Experts slightly lowered their estimate for payer COVID-19 healthcare spending to a high of $546.6 billion based in part on adding delayed care savings, a study by Wakely Contracting Group found....
New York’s experience during the Great Recession could inform its approach to coronavirus Medicaid during the pandemic, a recent report from the United Hospital Fund suggested.
For more...
If all of the nonexpansion states adopted Medicaid expansion, thus establishing total Medicaid expansion nationwide, there would be a 28 percent reduction in uninsurance, the Urban Institute found in...
While the coronavirus pandemic which gripped the nation in March 2020 is still in force, payers are beginning to look to the future as the nation emerges from crisis mode.
Many uncertainties still hang in the air regarding the trajectory...
Audio-only diagnoses should be factored into Medicare Advantage risk adjustment, Better Medicare Alliance (BMA) stated in a letter to CMS which HealthPayerIntelligence received by email.
“We...
As payers setting rates for 2021 seek greater clarity on coronavirus costs, experts warned in a recent Health Affairs article that the direct medical COVID-19 healthcare spending could range from...
The coronavirus pandemic impacts on the individual health insurance market risk pool and healthcare costs for 2021 are infusing uncertainty into the 2021 rate setting process, America’s Health...
Cigna has launched Cigna Care Card to help employers provide extra financial support to their employees during the coronavirus pandemic, the payer announced.
For more coronavirus updates, visit...
Almost 50 percent of American adults deferred care themselves or have a household member who deferred care due to the coronavirus, but more than two-thirds of those who deferred (32 percent of the...
Medica, a non-profit health plan, has partnered with the Minnesota Department of Health to conduct contact tracing for the state.
For more coronavirus updates, visit our resource page, updated...