Health Plan Weekly

Insiders: Biden May Revisit Payer Price Transparency Rule

While President-elect Joe Biden’s administration will likely move forward with some type of health insurer price transparency regulation, industry insiders say the new policy will likely differ from the rule the T...
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© 2024 MMIT

HHS Raises Eyebrows With Promises That New Rebate Rule Won’t Hike Premiums, Spending

On Nov. 20, as part of a health care regulatory blitz taking place in the waning days of the Trump administration, HHS finalized a once-tabled regulation that would revamp the Medicare prescription drug rebate syste...
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© 2024 MMIT

News Briefs

✦ Americans’ satisfaction with their health insurance has dipped to its lowest point since 2016, according to American Customer Satisfaction Index (ASCI) Finance, Insurance, and Health Care Report for 2019-2020....
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© 2024 MMIT

Still-Dominant Centene Faces More Exchange Competition With Chart: As Centene’s ACA Footprint Expanded, Market Became More Concentrated

Centene Corp., which has come to dominate the Affordable Care Act exchange market by continuing to expand even when other carriers pulled back, is facing more competition now that the market has stabilized and insur...
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Telehealth Needs Permanent Payment, Regulation Answers

Telemedicine has become an integral part of the health care delivery system as a result of the COVID-19 pandemic, but insurers still have to find the answers to important business questions about virtual care. Exper...
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Insurer’s Teledermatology Pilot Cuts Patient Wait Time

A pilot telemedicine program dramatically reduced the amount of time it took for primary care physicians to consult with dermatologists on skin ailments but did not increase utilization or cost, according to a new s...
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News Briefs

✦ During the first week of open enrollment for the Affordable Care Act exchanges (Nov. 1-7), 818,365 people selected plans on the federal platform, HealthCare.gov, according to CMS’s weekly enrollment snapshot r...
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Biden Regs Could Target Payer Testing Liability, Medicaid

Now that the presidential race has been called for Joe Biden, policy experts are predicting that his administration’s health care agenda will be accomplished mainly through executive action. That’s a consequence...
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Health Insurers Owe $2.5 Billion in MLR Rebates This Year

Insurers that participate in the individual, small-group and large-group markets will issue a record high $2.5 billion in medical loss ratio (MLR) rebates to more than 11.2 million customers this year, an increase o...
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SCOTUS Skepticism Toward ACA Suit Gives Insurers a Boost

Although a constitutional challenge to the Affordable Care Act (ACA) has been winding its way through the court system for more than two years — fueling ongoing concerns about the law’s future — the Supreme Co...
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© 2024 MMIT