Coronavirus

Audio-only Telehealth Coverage Essential During COVID-19 Outbreak

by Emily Sokol, MPH

The coronavirus pandemic sparked a rise in telehealth use. Video and audio visits allow patients to connect with their providers virtually, eliminating the risk of a clinic visit. Meanwhile, remote...

Mental Health Visits Take Majority of 1M Payer Telehealth Claims

by Kelsey Waddill

Blue Cross Blue Shield of Massachusetts (“Blue Cross”) has seen a boom in telehealth visits, particularly to serve mental healthcare needs, the company announced. The payer saw the number...

Rate Setting During COVID-19: Risk Corridors and Reinsurance

by Kelsey Waddill

Update 5/22/2020: This article has been updated to reflect that the one-sided risk corridor in the HEROES Act applies to individual and small group markets as well as self-insured and large group...

Special Enrollment Period Trends on State ACA Marketplaces

by Kelsey Waddill

State health insurance marketplaces are playing a pivotal role in helping the uninsured access healthcare coverage by opening special enrollment periods, Commonwealth Fund researchers found. By...

8 Ways Payers Can Support Provider Partners During Coronavirus

by Kelsey Waddill

In the face of coronavirus, payers have a unique opportunity to show their support for provider networks in a tangible way. For more coronavirus updates, visit our resource page, updated twice daily...

How Payers Make Wellness Programming Available Despite COVID-19

by Kelsey Waddill

While coronavirus brought many non-clinical benefits to a halt, Blue Cross and Blue Shield of Rhode Island (BCBSRI) is making wellness programming available to its members in spite of the...

UnitedHealth Group Offers Remote, Low Cost Access to Eyewear

by Kelsey Waddill

UnitedHealth Group is expanding access to vision care by enabling members to purchase eyewear remotely at low cost, the payer announced. For more coronavirus updates, visit our resource page, updated...

Medicaid Spending, Enrollment Exceed Projections Due To COVID-19

by Kelsey Waddill

States are facing higher Medicaid spending and higher enrollment than expected in 2020 due to the coronavirus, and that impact could continue into the following year, a Kaiser Family Foundation (KFF)...

Most Payers Cover Member Costs for COVID-19 Testing, Treatment

by Emily Sokol, MPH

Health payers recognize the importance of COVID-19 testing and treatment to keep their members healthy and fight the pandemic. That is why a majority are covering the costs of testing and treatment...

IRS Creates Cafeteria Plan, HDHP Flexibilities Due to COVID-19

by Kelsey Waddill

The Internal Revenue Service (IRS) has issued guidance extending flexibilities to high deductible health plan (HDHP), employer-sponsored cafeteria plan, and flexible spending arrangement (FSA) plan...

Healthcare Spending Boost to Come for Private Insurance Members

by Kelsey Waddill

Coronavirus is changing member and beneficiary healthcare spending habits, including increased telehealth utilization and but lower overall healthcare utilization, a recent PwC Health Research...

Payers Offer Premium Credits for Cash-Strapped Members, Employers

by Kelsey Waddill

Surplus funds that would normally go toward nonessential health services will instead be used to extend premium credits and waive cost-sharing for hard-hit populations, Priority Health announced. For...

27M Americans Could Lose Their Employer-Sponsored Health Plans

by Kelsey Waddill

Between March 1 and May 2, 2020, around 27 million people became uninsured as a result of losing their jobs and employer-sponsored health plans, a recent Kaiser Family Foundation (KFF) report...

Over 6M Seniors May Face COVID-19 Treatment Out-Of-Pocket Costs

by Kelsey Waddill

More than six million seniors would face COVID-19 treatment out-of-pocket healthcare spending if diagnosed with the coronavirus, a Patient Assistance Network (PAN) Foundation issue brief recently...

How Payer SDOH Investments Balance COVID-19 Relief Versus Recovery

by Kelsey Waddill

As the COVID-19 pandemic progresses, payers are constantly reevaluating where they can best direct relief and recovery funding. For more coronavirus updates, visit our resource page, updated...

BCBSM, Humana Waive Medicare Advantage Costs as States Reopen

by Kelsey Waddill

Blue Cross Blue Shield of Michigan (BCBSM) and Humana have stepped up their commitments to Medicare Advantage members as states begin to reopen businesses and lift stay-at-home orders. For more...

CO Public Option Bill Paused, Unemployment Rises Due To COVID-19

by Kelsey Waddill

The Colorado House of Representatives laid aside the public option proposal, the Colorado Health Care Option, in light of coronavirus. Three members of the Colorado House of Representatives wrote a...

Medicaid Expansion States May See Lower Uninsurance Amid COVID-19

by Kelsey Waddill

As national unemployment mounts closer to historic levels, Medicaid expansion states will fare the surging uninsurance far better than nonexpansion states, according to a recent report from the Urban...

$820M Payer Acquisition Boosts Medicaid Portfolios Amid COVID-19

by Kelsey Waddill

Molina Healthcare, Inc. announced that it will acquire Magellan Complete Care from Magellan Health, Inc. on April 30, 2020. “We believe it will allow us to scale our enterprise-wide platforms...

The Building Blocks of an Effective Coronavirus Response Strategy

by Emily Sokol, MPH

Payers are in a unique position to respond to many aspects of the coronavirus from payment of testing and treatment to community education. But there is no playbook for appropriate or effective responses. In such unique circumstances,...