Private Payers News

AMA: 79% of Medicare Advantage Markets Have Little Competition

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Nearly 80 percent of metropolitan statistical areas (MSAs) had highly concentrated Medicare Advantage markets, highlighting the lack of competition in the commercial health insurance market. The...

Better Access to Health Insurance Coverage Boosted Healthcare Use

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One in five Americans received regular healthcare during the COVID-19 pandemic due to increased access to health insurance coverage resulting from enhanced marketplace subsidies and Medicaid...

Employers Juggle High Healthcare Spending, Hiring Challenges in 2022

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Employers are looking for answers as they face an ever-steeper healthcare spending trajectory and hiring challenges in the post-pandemic environment, according to a survey from the National Alliance of...

Medicare Advantage Offers Better Access to Behavioral Healthcare Than FFS

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Medicare Advantage plans may better equipped to provide behavioral healthcare services to Medicare beneficiaries than fee-for-service Medicare, a Better Medicare Alliance report found. The research...

2022 Employee Contributions Trends in Employer Sponsored Health Plans

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Annual family 2022 premiums will average $22,463, with employees in employer sponsored health plans contributing on average $6,106, the annual Kaiser Family Foundation (KFF) Employer Health Benefits...

Dialysis Triples Healthcare Spending for Members with Chronic Diseases

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Dialysis increased monthly spending for privately-covered members with chronic diseases by approximately 292 percent, according to a study published in JAMA Open Network. The researchers drew their...

Cigna Expands Value-Based, In-Home Primary Care Services in Medicare Advantage

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Cigna has formed a value-based care partnership with an in-home primary care organization in order to improve quality of care and access to care for Medicare Advantage member, the partners...

Blue Cross NC Scholarship Program Aims to Diversify Health Insurance Industry

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Blue Cross and Blue Shield of North Carolina (Blue Cross NC) and two partners are forging a career pathway for local students to enter the health insurance industry and other insurance industries. The...

Humana Expands 2023 Medicare Advantage Dental Benefits in Florida

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Humana is expanding 2023 dental benefits under its Medicare Advantage plans in Florida and will offer members access to a more extensive provider network and higher annual...

UHC Supports Health Equity for Disabled Members Through Program Investments

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UnitedHealthcare invested in an organization that promotes health equity for individuals with disabilities. The payer put $5 million toward The Multi-Assistance Center (MAC) at Morgan’s...

Subsidies Drive Individual Health Insurance Marketplace Enrollment

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Enrollment on the individual health insurance marketplace has grown with most enrollees finding their health plan through the Affordable Care Act marketplace, according to enrollment data compiled by...

SCAN Health Plan Starts a Medicare Advantage Health Plan for LGBTQ+ Seniors

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SCAN Health Plan launched a Medicare Advantage plan for older adults who identify as being part of the LGBTQ+ community. The payer is working with a digital health platform that pursues integrated...

BCBS Health Plan Expands Medicare Advantage Drug, Mental Health Benefits

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Blue Cross Blue Shield of Massachusetts (Blue Cross) introduced prescription drug benefits and mental healthcare benefits to its preferred provider organization (PPO) and health maintenance...

Blue Cross Blue Shield Expands Benefits for Federal Employees

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Members of Blue Cross Blue Shield’s Federal Employees Health Benefits (FEHB) Program and Federal Employees Dental and Vision Insurance Program (FEDVIP) will have lower premiums for dental and...

Blue Cross NC Partnership Aims to Improve Fall Prevention for Members

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Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced a partnership that would aim to improve fall prevention for members. The payer partnered with the Green & Healthy Homes...

Alignment Health Expands Medicare Advantage Offerings for 2023

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Alignment Health has expanded its Medicare Advantage offerings for 2023, increasing access to care for seniors through new zero-dollar premium plans, special needs plans, and tailored benefits. The...

Employer Sponsored Health Plan Enrollment Dropped 5% During Pandemic

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Employer-sponsored health plan enrollment decreased by 5 percent during the COVID-19 pandemic, with the steepest declines among women and individuals working for small employers, according to a study...

Health Plan Shares Insurance Definitions to Boost Member Health Literacy

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In honor of National Health Literacy Month, Sunflower Health Plan shared the definitions to some basic health insurance terms with its members to improve member health literacy. During National Health...

Payer Donates to Expand Mental Health Treatment Training for Providers

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Aetna Better Health of Kentucky announced it will put $380,000 toward a mental health training program for providers to help them support members with adverse childhood events and...

4 Payers Share 2023 Medicare Open Enrollment Benefits, Inflation Drives Updates

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For the 2023 Medicare open enrollment period, payers are introducing new benefits and expanding old ones with the aim of lowering costs and reducing healthcare’s complexity. One of the major...