Private Payers News

Medicare Advantage Dual Eligibles Have Better Access to Care

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Medicare Advantage dual eligibles reported better access to care and access to telehealth during the coronavirus pandemic than traditional Medicare beneficiaries did, a report from NORC at the...

Trends Emerge Among Payers on Affordable Care Act Marketplace

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Affordable Care Act marketplace premiums have dropped for the third consecutive year and themes are emerging as the marketplace becomes more stable, a recent Urban Institute report found. “In...

MA Plan Announces Program to Improve Senior Mental Healthcare

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SCAN Health Plan has developed a program to help combat loneliness stemming from social isolation and to improve senior mental healthcare. The coronavirus pandemic and the requisite isolation due to...

Medicare Advantage Plans Draw More Members with Chronic Diseases

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In 2020, Medicare Advantage plans attracted members with chronic diseases but still maintained lower out-of-pocket healthcare spending for members than fee-for-service Medicare coverage did, a Better...

Bold Goal Saw Better Medicare Advantage Health Outcomes in 2020

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In 2020, Humana’s Bold Goal program saw better Medicare Advantage health outcomes in physical and mental healthcare than the payer's Medicare Advantage community overall, Humana’s most...

Cigna Funds Education, Workforce to Improve Social Determinants

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The Cigna Foundation has announced a new grant program that will center on addressing academic and workforce needs in order to reduce social determinants of health barriers and care...

Endpoint Directory Supports Payer Interoperability Compliance

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CAQH has officially launched the CAQH Endpoint Directory to support payers with interoperability compliance as they prepare for approaching deadlines in 2021 and 2022. “The need for the endpoint...

CVS Health Responds to Caregivers’ Pandemic Mental Health Needs

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In response to the coronavirus pandemic’s influence on moms’ and caregivers’ stress levels, CVS Health and Aetna are taking steps to prioritize the...

Blue Shield Aims to Reduce Mental Health Racial Care Disparities

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To help combat racial care disparities in communities of color, Blue Shield of California (Blue Shield) provided $300,000 to 12 different...

How to Consolidate Member Experience Data to Boost Satisfaction

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When Sarah Wechsberg, manager of voice of consumer and experience strategy at Blue Cross North Carolina (Blue Cross NC), joined the team at Blue Cross NC, the problem with her company’s member...

Payer Launches Discharge Program To Lower MA Hospital Readmissions

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UnitedHealthcare has announced the launch of a new program that aims to lower hospital readmissions by helping Group Retiree Medicare Advantage beneficiaries safely transition back home after discharge...

AHIP: Private Payers Boost Insurance Coverage, State Economies

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Private payers deliver health insurance coverage to hundreds of millions of Americans while providing millions of employment opportunities, according to AHIP’s Health Coverage:...

Despite More Symptoms, COVID-Era Mental Healthcare Claims Decrease

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The number of people seeking mental healthcare has decreased since COVID-19 began despite many Americans reporting that the pandemic has affected their mental health negatively, according to the...

CVS Tackles Care Disparities, Community-Based Preventive Care

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In pursuit of health equity, CVS Health announced an expansion of the company's no-cost, community-based health program, Project Health, which helps address care disparities by providing preventive...

Payers Address COVID-19 Vaccine Uptake With Member Engagement

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Health insurance providers are taking a variety of approaches to encourage equitable COVID-19 vaccine uptake, such as forming community partnerships, using targeted outreach for member engagement,...

UnitedHealthcare Boosts Integrated Care Benefit Program To Up Value

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UnitedHealthcare announced various enhancements to its integrated care benefit and specialty benefit approach for employer-sponsored health plans that are expected to simplify the member experience and...

Humana Continues Home Healthcare Expansion in $8.1B Acquisition

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Humana announced that it has signed an agreement to acquire the rest of the Kindred at Home program as part of its home healthcare expansion. “We continue to invest in assets that allow...

Employer Costs Could Drop 43% with Younger Medicare Eligibility

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If the Medicare eligibility threshold dropped to 50 years of age and uptake was universal among those eligible, employer-sponsored health plans could see a 43 percent reduction in their healthcare...

Cigna Includes Employees in Coronavirus Vaccine Uptake Efforts

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Cigna announced that it will offer financial rewards to employees who receive the coronavirus vaccine. “Even as vaccination rates increase, we are in a race against more contagious variants, and...

Agent Tools Offer Information on 43% of Medicare Advantage Plans

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Agents play a major role in guiding members during Medicare Advantage plan enrollment, but their methods may limit members’ ability to know all of their health plan options, a...