Coronavirus

NY Anticipates the Impact of Ending the American Rescue Plan Act Flexibilities

by Kelsey Waddill

The American Rescue Plan Act established enhanced tax credits that boosted New York’s state health insurance marketplace enrollment, but the end of those tax credits could lead to a spike in...

Payer Recognized for Health Equity, Social Determinants of Health Efforts

by Kelsey Waddill

Health Net has been recognized in an Institute for Medicaid Innovation (IMI) report for the payer’s work in health equity, along with various other stakeholders that have made progress on...

How States Can Evaluate, Improve Ex Parte Medicaid Renewal Processes

by Kelsey Waddill

As states and payers prepare for coronavirus public health emergency waivers to end, experts are recommending redesigning the Medicaid renewal processes, specifically ex parte rates, according to a...

SCAN Group Acquires Home Healthcare Organization, Forms New Practice

by Kelsey Waddill

SCAN Group has acquired an organization that delivers home healthcare services to seniors in the group’s first acquisition in company history.  The Residentialist Group (TRG) is an...

Health Plans Falter at Providing Medicaid Redetermination Info

by Victoria Bailey

Member engagement may be lacking for Medicaid plans, as only 56 percent of beneficiaries reported receiving helpful information about Medicaid redetermination or re-enrollment, according to a survey...

UHG Report Highlights Mental Healthcare Needs Among Seniors

by Kelsey Waddill

Over the last decade, seniors have experienced rising rates of mental healthcare needs, drug-related deaths, and early mortality, the UnitedHealth Foundation’s 2022 Senior Report...

How One Medicaid Program May Prevent Coverage Loss Post-COVID

by Kelsey Waddill

The Massachusetts Medicaid program can use a variety of strategies that it might implement in order to reduce coverage loss after the public health emergency lifts, according to a brief from the Blue...

The Status of Uninsurance Among Immigrants, Barriers to Coverage

by Kelsey Waddill

Noncitizens are more likely to be uninsured, including immigrants who are lawfully present in the US, a Kaiser Family Foundation (KFF) issue brief determined. In 2020, 24 percent of the nonelderly...

LA Care Health Plan Tackles Provider Workforce Shortage

by Kelsey Waddill

LA Care Health Plan is combatting the provider workforce shortage and improving access to care by issuing provider recruitment grants, the payer announced. The payer is distributing $1.75 million...

Top Challenges, Benefits of At-Home Coronavirus Testing Coverage

by Kelsey Waddill

In the first quarter of 2022, payers witnessed significant changes in at-home coronavirus testing coverage with mixed reactions. These changes—and the influence of the coronavirus pandemic on preventive care—present both...

CMS Updates Medicare Part B OTC COVID-19 Testing Coverage

by Kelsey Waddill

In a historic move, CMS has announced that Medicare Part B beneficiaries can receive full coverage for up to eight over-the-counter coronavirus tests in a calendar month during the coronavirus...

Uninsured May Lose Access to COVID-19 Services Without Federal Funds

by Victoria Bailey

Uninsured individuals may lose access to free COVID-19 testing, treatment, and vaccines when federal funds and supplies are exhausted, according to an issue brief from the Kaiser Family Foundation...

Securing Temporary Public Payer Policies Following the PHE

by Victoria Bailey

As the public health emergency (PHE) nears an end, policymakers must consider expanding temporary public payer policies that improve person-centered care for beneficiaries, including telehealth and...

How Ending the Public Health Emergency Impacts Medicaid Spending

by Kelsey Waddill

The end of the coronavirus public health emergency declaration could lead to a shift in Medicaid spending for state Medicaid programs and federal Medicaid costs, according to a report from the Robert...

How Ending the Public Health Emergency Impacts Medicaid Enrollees

by Kelsey Waddill

With the understanding that the public health emergency will eventually come to an end, experts from Kaiser Family Foundation (KFF) are asking what will happen if the US does not have a plan in place...

How 2020 Healthcare Spending Trend Fits Within Decades of Growth

by Kelsey Waddill

While the nation’s overall healthcare spending trend has been gradually increasing starting in 1970, the US experienced a particularly steep healthcare spending incline in 2020 of nearly 10...

National Healthcare Spending, Prices Saw Modest Increase in 2021

by Victoria Bailey

National healthcare spending increased by 3.4 percent in 2021, while the Health Care Price Index (HCPI) maintained a year-over-year growth of around 2 percent, according to Altarum’s February...

30% of Seniors Still Experience Impacts of Foregone, Delayed Care

by Kelsey Waddill

Senior members might continue to see canceled or delayed care even as coronavirus cases decline, a trend which has had significant impacts on payer revenues and spending in 2020 and 2021, a report from...

CMS Issues Over-the-Counter Coronavirus Testing Guidance

by Kelsey Waddill

CMS released guidance around the over-the-counter coronavirus testing requirement, providing greater clarity regarding what kinds of direct-to-consumer access mechanisms fall under compliance and...

3 Major Payer Q4 2021 Earnings Reports Show COVID-19 Impacts

by Kelsey Waddill

Major payers have released their earnings reports from the fourth quarter of 2021, which revealed the continued impacts of the coronavirus pandemic, highlighted mergers and acquisitions deals, and made...