Public Payers News

$0 Premium Plans Are Pushing Medicare Advantage Premiums Lower

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Zero-dollar health plans are bringing average Medicare Advantage premiums lower, continuing an ongoing trend, an eHealth report found.  eHealth surveyed over 4,200 Medicare beneficiaries who were...

Medicaid Expansion May Be Key To Permanently Closing Coverage Gap

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The federal government could temporarily close the Medicaid coverage gap with the Build Back Better Act, but permanent coverage may ultimately depend upon state legislation around Medicaid expansion,...

How COVID-19 Impacted The Individual Health Insurance Marketplace

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The individual health insurance marketplace saw changes in enrollment and in enrollees’ healthcare spending risk as a result of the coronavirus pandemic in 2020, a Health Affairs study...

Public Payers See Higher Member Satisfaction on Network Size, Cost

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Medicare Advantage, fee-for-service Medicare, and Medicaid received higher member satisfaction scores than individual health insurance market plans and employer-sponsored health plans, according to a...

Centene Will Address Serious Mental Healthcare in AZ Medicaid

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Centene Corporation (Centene) will be expanding its Medicaid coverage in Arizona to provide serious mental healthcare services in a competitive contract expansion, the payer announced. “We are...

ACA 2022 Open Enrollment Starts Off With 133K New Enrollees

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After Affordable Care Act marketplace 2022 open enrollment launched on November 1, 2021, CMS reported that the first week ended with 773,557 plan selections. Of those nearly 774,000 plan selections on...

Trends in Medicare Advantage 2022 Open Enrollment Offerings

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Medicare Advantage has seen a lot of growth in recent years and that trend is set to continue into 2022, as evident in the number of plan offerings for the Medicare Advantage 2022 open enrollment...

Providers Share Benefits of Medicare Advantage During COVID-19

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There has been a lot of valuable conversation around the benefits that Medicare Advantage health plans can offer to consumers, but now providers have offered their perspectives on this form of health...

Affordable Care Act Marketplace Premium Growth Outpaced Income

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An increasing share of middle class families faced barriers related to care costs on the Affordable Care Act marketplace from 2015 to 2019, a Health Affairs study found. The researchers used American...

Medicaid, ACA Enrollment Growth Attended Level Uninsurance in 2020

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During 2020, a stable uninsurance rate attended enrollment growth in Medicaid and the Affordable Care Act marketplace, according to a report from the Assistant Secretary for Planning and Evaluation...

Survey Shows COVID-19 Toll on Senior Mental Health, Social Health

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From the beginning, it was clear that seniors’ lives would be turned upside down as a result of the coronavirus pandemic, but Humana’s survey of over 1,000 seniors reveal the severe toll...

CMS Shares Affordable Care Act Marketplace Open Enrollment Details

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With the Affordable Care Act marketplace open enrollment season around the corner, CMS has announced changes to its outreach and enrollment processes in a marketplace 2022 open enrollment fact...

BMA: Medicare Advantage Offers Lower Costs, Better Benefits Than FFS

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Medicare Advantage plans offer members additional benefits and require less spending from the federal government compared to fee-for-service (FFS) Medicare, according to a report commissioned by Better...

Impact of Fixed American Rescue Plan Act Subsidies on Families

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Nearly one million uninsured children and parents could gain healthcare coverage if the American Rescue Plan Act (ARPA) subsidies become permanent, according to an Urban Institute report. The enhanced...

How Medicaid Expansion Impacted Site of Care, Outcomes in MI

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Michigan’s Medicaid expansion effort successfully increased access to a regular care site and improved health statuses for many minorities, but did not impact poor mental health days, a study...

How MA Special Needs Plans Compare to Traditional Medicare, MA

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Medicare Advantage special needs plan members are more racially and ethnically diverse, are in lower income brackets, and tend to be sicker member populations than traditional Medicare or Medicare...

Plan Comparison Was Low During Medicare Open Enrollment 2018

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Most Medicare beneficiaries did not review their health plan options during open enrollment in 2018, according to a Kaiser Family Foundation (KFF) issue brief. “The marketplace of Medicare...

CO Will Add LGBTQ+ Care As Marketplace Essential Health Benefit

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Updated 10/13/21: This article has been updated to include a statement from Andy Marra, executive director of the Transgender Legal Defense & Education Fund (TLDEF). Colorado has received...

Expanding Social Determinants of Health Benefits Among Public Payers

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HHS needs to expand the list of social determinants of health that public payers can cover and hold public payers accountable to covering preventive services that can help address social determinants...

87 Contracts Score 5 Stars on 2022 Medicare Advantage Star Ratings

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Over nine in ten Medicare Advantage-prescription drug plans (94.26 percent) received a 3.5 star rating or higher on the 2022 Medicare Advantage Star Ratings, with an average star rating of 4.37 stars,...