Private Payers News

UnitedHealth Group Kicks Off Integrated Virtual-First Health Plan

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UnitedHealth Group has launched a virtual-first health plan with the goal of integrating in-person and virtual care. “By collaborating with Optum, UnitedHealthcare is developing a more...

Financially Burdened Seniors Struggle to Cover Healthcare Costs

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Healthcare costs continue to be a barrier for seniors, with over one in four older Americans facing high out-of-pocket costs and lacking emergency funds to pay for healthcare services, according to a...

Continuous Marketplace Coverage Led to Increased Prenatal Care Use

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Affordable Care Act (ACA) Marketplace coverage for pregnant people before, during, and after pregnancy was associated with higher rates of prenatal care use compared to people who had discontinuous...

Humana Expands Medicare Advantage Plans, Benefits in Tennessee

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Humana has announced several Medicare Advantage expansions for Tennessee in 2022, including a Dual Eligible Special Needs Medicare Advantage (D-SNP) plan and COVID-19 testing, treatment, and...

UnitedHealthcare Shares Growth, COVID-19 Impacts, 2022 Forecast

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UnitedHealthcare saw its revenue rise 11 percent in the third quarter of 2021 to hit $55.9 billion, the payer announced in its earnings report. “Third quarter 2021 operating earnings were $2.7...

Employer Health Benefits Spending Will Normalize in 2022

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In 2022, health benefits spending will return to normal, prepandemic levels in 2022 by increasing by an average of 4.7 percent over 2021 healthcare costs, employers anticipated in Mercer’s...

51% of Employees Satisfied with Employer-Sponsored Health Benefits

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More than half of employees are satisfied with their current employer-sponsored health benefits, though many faced difficulties due to the rise of healthcare costs, according to the Employee Benefit...

Medicare Advantage COVID-19 Hospitalizations Were Lower Than FFS

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Updated 11/10/21: This article has been updated to elucidate the differences between Medicare Advantage beneficiaries' and fee-for-service Medicare beneficiaries' use of telehealth and...

How Payers Use Chronic Disease Management Flexibilities in HSAs

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Pre-deductible coverage for chronic disease management through a health savings account is a widespread practice among health plans which may require policymakers to enact regulatory changes in order...

Blue Cross NC Reduces Lab Service Costs, Unnecessary Testing

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Blue Cross and Blue Shield of North Carolina (Blue Cross NC) achieved $112 million in savings on lab service costs and better-quality lab services for members in 2020 after partnering with a laboratory...

Top 5 Largest Health Insurers in the US by National Market Share

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Overall, the list of the top five largest health insurers at the national level has remained stable over the past six years, but the list experienced some small shifts in 2020, according to data from...

Health Insurance Industry Consolidation Grew from 2014 to 2020

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Health insurance industry consolidation continued to increase, restricting consumers’ options for coverage, an American Medical Association report argued. “As merger...

4 Employer Health Benefit Strategies That Lower Healthcare Costs

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As employers seek to lower costs, a few key employer health benefit strategies are showing positive results. Healthcare costs are on an unsustainable trajectory, according to employer respondents in a...

UPMC Partners with Meal Delivery Service, Improves Health Outcomes

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The University of Pittsburgh Medical Center (UPMC) Health Plan partnered with a meal delivery service to improve patient outcomes, decrease healthcare costs, and reduce emergency department visits for...

NCQA Releases Health Plan Performance Ratings with COVID-19 Data

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The National Committee for Quality Assurance (NCQA) has released its first set of Health Plan Ratings since 2019, providing insight into health plan performance during the coronavirus...

How Payers Can Cultivate Consumer-Centered Digital Innovation

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With the dawn of the virtual-first health plan and continued increases in healthcare consumerism, payers have found themselves in an age of consumer-centered digital innovation. Healthcare revenue...

Digital Member Experience Services May Boost Plan Satisfaction

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Payers that offer consistent digital member experience services across multiple channels are more likely to see steady benefits and have high member satisfaction, according to a new study. A member...

Payer Extends Medicare Advantage Footprint to Reach 5M Seniors

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SCAN Health Plan is expanding its Medicare Advantage footprint to Arizona, Nevada, and additional counties in California to reach more than five million senior beneficiaries. SCAN currently provides...

Anthem Offers Virtual Care Platform To Facilitate Second Opinions

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Anthem has partnered with The Clinic by Cleveland Clinic to improve members’ access to second opinions on their healthcare needs, Anthem revealed in a statement emailed to...

How COVID-19 Impacted Employer-Sponsored Health Plan Coverage

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In 2020, the prevalence of employer-sponsored health plan coverage fell during the coronavirus pandemic even as employment rebounded, according to a recent study published in the JAMA Health...