Private Payers News

Key Factors Behind How Much Commercial Insurers Pay Providers

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Commercial payers have been experiencing higher healthcare spending than fee-for-service Medicare due to higher prices, according to a report from the Congressional Budget Office (CBO). CBO observed...

Oscar Health Cost Estimator Tool Aims to Increase Price Transparency

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Oscar Health has launched an updated cost estimator tool to increase price transparency around healthcare costs and help members plan for their medical bills in advance. “Since day one, Oscar...

How The Affordable Care Act Impacted Small Group Coverage Trends

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From 2013 to 2020, small group coverage has maintained a fairly stable environment, researchers from the Urban Institute found. The researchers used the Medical Expenditure Panel Survey Insurance...

At-Home COVID-19 Tests in Low Supply Before New CMS Requirements

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In a sample of online retailers, only a fraction of the at-home COVID-19 testing opportunities were available the week before CMS announced the new at-home COVID-19 test coverage requirements for...

Payers Lag On Acupuncture Coverage Despite Rising Utilization

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Although acupuncture utilization has grown in recent years, only half of acupuncture visits had any form of coverage in 2019, according to a research letter published in JAMA Network Open. The...

UnitedHealthcare Offers Initiatives to Improve Vision, Eye Health

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UnitedHealthcare has announced two new initiatives that aim to help adults and children support their vision and eye health by reducing exposure to blue light from digital screens. The COVID-19...

HRSA Expands Preventive Care Coverage Under ACA for Women, Children

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The Health Resources and Services Administration (HRSA) has updated the preventive healthcare guidelines under the Affordable Care Act (ACA) to expand low-cost coverage of preventive care services for...

Centene Finalizes Acquisition of Behavioral Healthcare Platform

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Centene has completed its acquisition of the behavioral healthcare platform Magellan Health, which will allow the payer to provide members with low-cost integrated healthcare services. “Magellan...

Priority Health, Epic Partner to Improve Patient Data Exchange

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Priority Health has announced a partnership with Epic and plans to implement the EHR vendor’s payer platform to facilitate patient data exchange with providers, lower healthcare costs, and...

UHC Will Not Implement Emergency Care Coverage Changes

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UnitedHealthcare has clarified that it does not intend to change its emergency care coverage policies, American Hospital Association (AHA) disclosed in a special bulletin. “AHA is pleased with...

Humana Expands Value-Based Care to Medicare Advantage Members in OR

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Humana has partnered with Vancouver Clinic to expand value-based primary care services to Medicare Advantage members in Oregon. The primary care practice, Enliven by Vancouver Clinic, will be...

Cancer Patients in High Deductible Health Plans Face Steep Costs

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Patients with new cancer diagnoses who were enrolled in a high deductible health plan experienced significantly higher out-of-pocket healthcare costs compared to patients with traditional insurance, a...

Top 5 Insurers With The Highest Market Shares In The Most States

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Payers that hold the highest market shares nationwide may not have the greatest predominance in a single state, a HealthCareInsider analysis found. UnitedHealth Group is considered the company with...

Payer Funds Tech, Training To Support Rural Maternity Healthcare

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Blue Cross and Blue Shield of Minnesota (Blue Cross) is funding a hospital partner’s technology and practice support resources in order to transform rural maternity...

MA Plan Introduces Benefits to Address Chronic Disease Management

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MVP Health Care and the University of Vermont Health Network (UVMHN) have added heart disease and diabetes support to their Medicare Advantage plan benefits to improve chronic disease management for...

2021 Employer-Sponsored Health Plan Spending Growth Hit 6.3%

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Costs for employer-sponsored health plans increased 6.3 percent in 2021, surpassing every annual increase since 2010, a Mercer survey discovered. “Employers seem optimistic that this...

BMA Asks CMS to Enhance, Solidify Medicare Advantage Benefits

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Better Medicare Alliance (BMA) has penned a letter to CMS detailing a number of Medicare Advantage policy recommendations regarding Medicare Advantage benefits and care coordination, health equity, and...

Payer Funds Local Practices to Help Address Racial Care Disparities

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Blue Cross Blue Shield of Massachusetts (Blue Cross) is providing $25 million to local healthcare organizations to help reduce racial care disparities. The Institute for Healthcare Improvement (IHI)...

CVS Health Contributes $9.2M to Address SDOH, Homelessness in DC

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CVS Health is investing $9.2 million in affordable housing for Washington DC residents to help address social determinants of health and racial care disparities, including housing insecurity and...

UnitedHealthcare Launches Health Plan to Improve Customer Support

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UnitedHealthcare has launched a new employer-sponsored health plan for Arizona residents that seeks to prioritize customer support experiences and lower member premiums. The Doctors Plan of Arizona is...