The individual health insurance market will experience the economic impact of coronavirus in three major ways, including potentially lower COVID-19 treatment costs, a Robert Wood Johnson Foundation...
CMS has issued guidance for private health plans regarding coverage for coronavirus diagnostic testing and relevant products and procedures.
For more coronavirus updates, visit our resource page,...
The Supreme Court will not expedite a review of the Affordable Care Act’s (ACA’s) constitutionality.
The Fifth Circuit Court of Appeals declared the individual mandate void in December...
In a letter released on September 11, CMS informed UnitedHealthcare that its Medicare contract H5322 through Care Improvement Plus failed to meet its medical loss ratio requirement for the third year...
CMS will allow states to expand their wellness programs for the individual marketplace either through state-run or payer-designed programs, CMS announced.
The goal of the demonstration is two-fold,...
Healthcare payers will be paying back $1.3 billion in rebates to consumers, and the individual health insurance market played a significant role, a study by the Kaiser Family Foundation (KFF)...
Medicare Advantage’s annual gross margins are about twice as high as individual or group plans, according to a recent Kaiser Family Foundation (KFF) study.
The findings could shed light on the...
The Trump Administration issued an executive order that will allow employers to help employees pay for health insurance via health reimbursement arrangements.
As part of individual coverage health...
A proposed bill to allow Connecticut small businesses and their employees to buy into the state’s public health plan has advanced favorably through the state legislature, but not without...
Significant increases to health insurance premiums are on the horizon for beneficiaries in multiple states as payers begin to share their 2019 rate plans.
A challenging regulatory landscape,...
Healthcare payers that wish to be known as innovators need to continually be on the lookout for emerging health plan market opportunities that offer strong profit potential.
Payers need to monitor...
The Minnesota of Council of Health Plans (MCHP) associated rising beneficiary medical costs in 2017 to irregular health plan enrollment shifts in both the private and public market.
The Council said...
Two new provider-based health insurance plans will be available in 2018, as Aetna and Oscar Health align with Sutter Health and the Cleveland Clinic, respectively, to offer new coverage options for...
