Health Plan Weekly

News Briefs

✦ A federal district judge upheld the Trump administration’s proposed rule to force hospital systems to reveal the prices they negotiate with insurers. The American Hospital Association (AHA), which brought a su...
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In N.Y. Expansion, Highmark Will Absorb HealthNow Blues Plans With Chart: Highmark to Affiliate With Largest Insurer in Western New York

In a deal that the companies say was validated by the challenges of the COVID-19 pandemic, HealthNow New York Inc. revealed on June 16 that it will become part of fellow Blue Cross Blue Shield licensee Highmark Inc....
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Telehealth Reimbursement Issue May Spark Lobbying Fight

Telehealth use has surged during the COVID-19 pandemic, and is likely to remain higher than it was before the crisis on a permanent basis. However, the difficult work of regulating and establishing rate structure fo...
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Reporter’s Notebook: COVID-19 Pandemic Looms Large at 2020 AHIP Institute & Expo

Unsurprisingly, COVID-19 was a frequent topic of discussion during the 2020 America’s Health Insurance Plans Institute & Expo — an event held virtually because of the ongoing pandemic. Here’s a selection o...
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LGBTQ+ Ruling Could Overturn HHS Final Rule, Experts Say

The Supreme Court’s June 15 ruling on LGBTQ+ workforce protections in Bostock v. Clayton County, Georgia, could supersede a recently finalized rule by HHS’s Office for Civil Rights (OCR) that stripped gender ide...
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News Briefs

✦ CMS issued a proposed rule on June 17 aimed at making it easier for state Medicaid programs to enter into outcomes-based contracts with drug manufacturers. Among other policy revisions, the rule would allow manu...
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Armed With More Data, Analysts Alter COVID-19 Cost Forecasts

As the COVID-19 pandemic ramped up in the U.S. in early spring, actuaries and analysts raced to develop estimates of how the disease associated with this new coronavirus would impact health care costs. Now, with cas...
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So Far, Only New York Sees Double-Digit Rate Requests

Six states in the Northeast and Pacific Northwest have now released initial premium rate requests from individual and small-group health plans. And although both regions have been hit hard by the COVID-19 pandemic, ...
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Indiana Subsidy for Private Insurance ‘Doesn’t Go Very Far’

Indiana on May 29 received CMS approval for a Section 1115 waiver demo that allows residents moving from Medicaid expansion to commercial plans to spend up to $1,000 of funds stored in quasi-HSA accounts on insuranc...
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MCO Stock Performance, May 2020

Click here for a pdf of the full issue...
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