Health Plan Weekly

COVID-19 Causes Unprecedented Drop in Health Care Spending

So far in 2020, spending on health care services is down 2.4% compared to 2019, marking the first time that patient care expenditures have dropped since records became available in the 1960s, according to a recent a...
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© 2024 MMIT

Execs: Pandemic Will Forever Change Behavioral Health

The COVID-19 pandemic has led to a digital revolution in behavioral health care, with an explosion in virtual care that has increased access in the short-term. And care delivery is likely to fundamentally change eve...
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© 2024 MMIT

Insurers Extend COVID-19 Cost-Sharing Waivers Into 2021

Most insurers waived member cost sharing for COVID-19 treatment through the end of 2020, and some payers, mainly nonprofits, have begun to extend those waivers into 2021. An industry insider expects more for-profit ...
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© 2024 MMIT

News Briefs

✦ The U.S. Supreme Court on Dec. 10 ruled unanimously against the Pharmaceutical Care Management Association (PCMA) in a case challenging an Arkansas law regulating PBMs. In Rutledge v. PCMA, the justices rejected...
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© 2024 MMIT

Shareholder Suit Keeps Anthem/Cigna ‘Soap Opera’ Alive

Although a judge has already ruled in a lengthy court battle over the breakup fee and damages related to Anthem, Inc.’s failed attempt to acquire Cigna Corp., litigation related to the doomed deal apparently is no...
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© 2024 MMIT

Boldest Parts of New ACA Exchange Rule Face Uncertain Fate

In a proposed rule released on Nov. 25, CMS floated some ambitious changes to the regulations governing the Affordable Care Act (ACA) exchanges, most notably allowing states to ditch a centralized health plan market...
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Employer-Sponsored Health Care Costs Rose Steadily Over the Past Decade

In 2019, people with employer-sponsored health plans spent 11.5% of their median household income on premiums and deductibles, compared to 9.1% in 2010, according to a recent study published by The Commonwealth Fund...
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© 2024 MMIT

Employers Are Cautiously Studying Move to ICHRAs

Health care industry insiders say that employers of all sizes are beginning to take a serious look at moving some of their health benefits to Individual Coverage Health Reimbursement Arrangements (ICHRAs) starting i...
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UnitedHealth Projects Growth Despite COVID Costs, Plus Tech Investment in 2021

At its annual investor day on Dec. 1, UnitedHealth Group predicted that it will incur $2 billion in extra, incidental expenditures in 2021 caused by the ongoing COVID-19 pandemic. Still, Wall Street analysts agreed ...
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News Briefs

✦ Humana Inc. on Dec. 3 unveiled that it will acquire the remaining 50% of iCare, a Wisconsin-based Medicaid plan that it already owned in part. iCare, which Humana previously co-owned with Centers for Independenc...
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© 2024 MMIT