Private Payers News

Consumers Share on Employer-Sponsored Mental, Behavioral Coverage

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Consumers reported having positive experiences with their employer-sponsored mental and behavioral healthcare coverage during the coronavirus pandemic, a survey conducted on behalf of AHIP...

KLAS: 6 Vendors That Aim to Resolve Payer-Provider Friction

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Updated 5/13/2022: This article has been corrected to adjust the name of the company which was incorrectly referred to as "Arcadia.io" throughout its section of the article. The company is...

Role of Health Insurance Coverage, Benefits in Great Resignation

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As the Great Resignation sweeps across the US, employers and their human resource teams are often misaligned with employees regarding health insurance coverage and the role healthcare benefits play in...

Anthem Announces Finalization of Integra Managed Care Acquisition

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Anthem has finalized its acquisition of Integra Managed Care, the payer announced. Integra is a managed care company that offers managed long-term care plans. The organization serves four areas in the...

Centene Announces Sale of Pharmacy Benefit Manager, Pharmacy

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Centene Corporation (Centene) has announced that the payer organization will sell both the pharmacy benefit manager Magellan Rx and pharmacy PANTHERx Rare.  Centene expects to make $2.8 billion...

Payer Targets Health Equity in Colorectal Cancer Prevention

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Independence Blue Cross (Independence) is partnering with a nonprofit dedicated to colorectal cancer awareness and research in order to improve preventive care and health equity for colorectal...

Employer Sponsored Health Plan Trends in High Enrollment States

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AHIP has released an overview of employer-sponsored health plan coverage across all 50 states and the District of Columbia, with California, Texas, and New York seeing the highest populations of...

Key Advantages of Medicare Advantage Plans Versus FFS Medicare

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Medicare Advantage plans may provide better access to care and lower healthcare spending for enrollees, compared to fee-for-service Medicare, according to a study from ATI Advisory conducted on...

5 Major Payers Recognized for Employer Sponsored Wellness Benefits

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The Business Group on Health has announced the winners of the Business Group on Health Best Employers Award for Excellence in Health & Well-being for providing strong employer-sponsored wellness...

Payer, Walgreens Partner to Improve Equity, Care Coordination

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Blue Shield of California (Blue Shield) has partnered with Walgreens to launch more Walgreens Health Corner locations to reduce care disparities and facilitate better care coordination for members with...

UHC Introduces Employer-Sponsored, Virtual Care Physical Therapy

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UnitedHealthcare is introducing access to virtual care physical therapy for members in employer-sponsored health plans who suffer from musculoskeletal issues, according to an emailed press...

Payer Precision Medicine Program Covers At-Home Genetic Tests

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Blue Cross Blue Shield of Michigan is making at-home genetic testing available to members as part of a precision medicine approach to care. The payer will cover genetic testing through Blue Care...

UnitedHealthcare Expands Maternal Health Equity Program in NC

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UnitedHealthcare announced that it will expand a program to advance maternal health equity in for minority communities in North Carolina. “Access to quality maternal health care will help close...

Aetna Prioritized Member Mental Healthcare, Virtual Care in 2021

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CVS Health and its payer arm, Aetna, aimed to make strides in the healthcare industry in 2021 by delivering affordable healthcare services to members, increasing access to virtual and mental...

How Coverage Mandates May Impact DBT Breast Cancer Screenings

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Insurance coverage mandates for a certain type of breast cancer screening may drive up utilization and lower costs, according to a study published in JAMA Network Open. Digital breast tomosynthesis...

Job Satisfaction, Equity Characterize 2022 Wellness Program Design

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Large employers are investing more in their wellness program design in 2022 and their programs revolve around hybrid work environments, job satisfaction, and equity, the Business Group on Health found...

High Deductible Health Plans Impact Employee Mental Healthcare

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Employee mental healthcare spending rose, and employer mental healthcare spending fell after employers transitioned their workers from preferred provider organizations to high deductible health plans,...

MedPAC Releases Medicare Advantage Recommendations, BMA Reacts

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MedPAC’s March 2022 recommendations to Congress for Medicare Advantage payment policies have roused reactions from payers, specifically Better Medicare Alliance. At the beginning of the report...

Centene Receives Health Equity Innovation Award from NCQA

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The National Committee for Quality Assurance (NCQA) has awarded Centene the Innovation Award for Health Equity for the company’s Health Equity Improvement model. “Advancing health equity...

Medical Debt Points To Holes in Health Insurance Industry

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The widespread nature of medical debt in the US indicates that there are holes in the health insurance system, researchers from the Peterson-Kaiser Family Foundation (KFF) Health System Tracker...