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...
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...
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...
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...
Private payers could issue a total of $2.7 billion in medical loss ratio rebates in 2020, more than double the previous year’s record high of $1.4 billion, according to estimates from the Kaiser...
In an 8-1 decision, the Supreme Court has ruled that the federal government must pay $12 billion to insurers enrolled in the Affordable Care Act’s risk corridor program.
The risk corridor...
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...
Payers are grappling with how delayed elective care, extended payment grace periods, and unemployment will impact business as the coronavirus crisis looms indefinitely, the UnitedHealth Group’s...
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,...
As the economic impact of the coronavirus pandemic continues to worsen, uninsurance rates will increase rapidly and place unprecedented strain on Medicaid programs and the ability of uninsured...
Reforming the Affordable Care Act (ACA) has had lasting impacts on the individual health insurance market. Intending to reshape a dysfunctional system, the ACA included incentives for insurers to...
The Best’s Market Segment Report, a global insurance credit rating agency, publisher, and data analytics provider, has projected tighter margins but an overall stable outlook for 2020 for most...
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...
Reinsurance programs reduced premiums by 16.9 percent, on average, in the first year of program enactment relative to estimated premiums without reinsurance, according to a continuing Avalere analysis....
In 2020, the Affordable Care Act (ACA) enrollment process will feature quality star ratings, Enhanced Direct Enrollment (EDE), health reimbursement accounts (HRAs) resources, and a more...
The average premium on Healthcare.gov dropped for a second consecutive year, down by four percent, CMS announced.
Delaware saw the highest Healthcare.gov premium decline, where the premium for a...
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...
Colorado officials said that the state’s public option plan would save Coloradans 9 to 18 percent or more on monthly premiums, but payers and providers have concerns.
The state released a draft...
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)...
