Coronavirus

Survey Shows COVID-19 Toll on Senior Mental Health, Social Health

by Kelsey Waddill

From the beginning, it was clear that seniors’ lives would be turned upside down as a result of the coronavirus pandemic, but Humana’s survey of over 1,000 seniors reveal the severe toll...

CVS Health to Offer Coverage for Moderna COVID-19 Booster Shot

by Victoria Bailey

CVS Health has announced that it will offer Moderna COVID-19 booster shots to eligible individuals at more than 9,800 pharmacy locations. The CDC, following guidance from the Advisory Committee on...

COVID-19 Out-of-Pocket Spending Lower with Cost-Sharing Waivers

by Victoria Bailey

Cost-sharing waivers for COVID-19 hospitalizations have the potential to significantly reduce out-of-pocket healthcare spending, as long as they are comprehensive and cover all hospital-related...

Impact of Fixed American Rescue Plan Act Subsidies on Families

by Victoria Bailey

Nearly one million uninsured children and parents could gain healthcare coverage if the American Rescue Plan Act (ARPA) subsidies become permanent, according to an Urban Institute report. The enhanced...

Humana Expands Medicare Advantage Plans, Benefits in Tennessee

by Victoria Bailey

Humana has announced several Medicare Advantage expansions for Tennessee in 2022, including a Dual Eligible Special Needs Medicare Advantage (D-SNP) plan and COVID-19 testing, treatment, and...

UnitedHealthcare Shares Growth, COVID-19 Impacts, 2022 Forecast

by Kelsey Waddill

UnitedHealthcare saw its revenue rise 11 percent in the third quarter of 2021 to hit $55.9 billion, the payer announced in its earnings report. “Third quarter 2021 operating earnings were $2.7...

Employer Health Benefits Spending Will Normalize in 2022

by Kelsey Waddill

In 2022, health benefits spending will return to normal, prepandemic levels in 2022 by increasing by an average of 4.7 percent over 2021 healthcare costs, employers anticipated in Mercer’s...

ACHP: 5 Policy Recommendations about COVID-19 Testing Coverage

by Kelsey Waddill

The Alliance of Community Health Plans (ACHP) has issued five recommendations to CMS regarding COVID-19 testing coverage. “As Americans return to their workplace, children return to in-person...

Top Payer Strategies for Overcoming Coronavirus Vaccine Hesitancy

by Kelsey Waddill

As payers continue to search for answers to overcoming coronavirus vaccine hesitancy, safety net health plans in the Association for Community Affiliated Plans (ACAP) have consolidated their most...

Blue Cross NC Reduces Lab Service Costs, Unnecessary Testing

by Victoria Bailey

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) achieved $112 million in savings on lab service costs and better-quality lab services for members in 2020 after partnering with a laboratory...

3 Strategies for Sustaining Payer Innovation Momentum Post-COVID

by Kelsey Waddill

The coronavirus pandemic set off a whirlwind of payer innovation, largely out of necessity. In the health insurance world specifically, payers continued to advance new products during the pandemic....

NCQA Releases Health Plan Performance Ratings with COVID-19 Data

by Kelsey Waddill

The National Committee for Quality Assurance (NCQA) has released its first set of Health Plan Ratings since 2019, providing insight into health plan performance during the coronavirus...

How COVID-19 Impacted Employer-Sponsored Health Plan Coverage

by Kelsey Waddill

In 2020, the prevalence of employer-sponsored health plan coverage fell during the coronavirus pandemic even as employment rebounded, according to a recent study published in the JAMA Health...

Medicare Mortality Rates Reveal COVID-19 Racial Care Disparities

by Kelsey Waddill

While racial care disparities in Medicare are not new, the gap in mortality rates between beneficiaries of different ethnicities and races grew even more pronounced during the coronavirus pandemic, a...

CMS Guidance Promotes COVID-19 Vaccine Coverage, Medicaid Expansion

by Victoria Bailey

The Biden Administration and CMS have released guidelines that detail federal funding information relating to Medicaid expansion and COVID-19 testing and vaccine administration for Medicaid and...

How States Leveraged COVID-19 Medicaid Emergency Authorizations

by Kelsey Waddill

COVID-19 Medicaid emergency authorization usage has differed most from past crises in regards to states’ utilization of Section 1115 demonstration waivers, according to a Kaiser Family Foundation...

Medicaid Expansion Tied to Coverage Access, Lower State Spending

by Kelsey Waddill

Medicaid expansion states have experienced higher access to health insurance coverage and lower state Medicaid spending, a report from the Menges Group found. The researchers compared Medicaid...

DE Cites Delayed Care in 2022 Affordable Care Act Premium Boost

by Kelsey Waddill

Highmark Blue Cross Blue Shield of Delaware is raising its 2022 Affordable Care Act premium, the state’s health insurance commissioner announced. “Stability in the individual health...

Unvaccinated COVID-19 Hospitalizations Drive Up Healthcare Spend

by Kelsey Waddill

Unvaccinated COVID-19 hospitalizations cost payers and the healthcare system at large billions in healthcare spending, according to a Peterson-Kaiser Family Foundation (KFF) Health System Tracker...

Private Payers Renew Cost-Sharing For COVID-19 Hospitalizations

by Victoria Bailey

Now that vaccines are readily available to all American adults, private payers have stopped waiving cost-sharing for COVID-19 hospitalizations, according to a Peterson-Kaiser Family Foundation (KFF)...