Health Plan Weekly

A Closer Look at COVID-19 Diagnostic, Antibody Testing Charges

The rates that providers and laboratories charge for COVID-19 diagnostic and antibody testing — prices that “have important implications for out-of-network plans, uninsured patients, and other payers with little...
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© 2024 MMIT

Would Health Insurers Embrace Underwriting Again?

Since at least the 2017 saga when Republicans tried to repeal and replace the Affordable Care Act (ACA), one of the law’s most visible — and politically charged — components has become its protections for peop...
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© 2024 MMIT

News Briefs

✦ The Blue Cross Blue Shield Association has signed off on a tentative agreement in a major antitrust lawsuit filed against Blues plans on behalf of customers, the Wall Street Journal reported on Sept. 24, citing ...
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© 2024 MMIT

Recession, ACA Exchange Stability Drive Insurer Expansions

Given that enrollment in the Affordable Care Act (ACA) exchanges has basically flatlined at around 11.4 million — a lower level than originally projected and just a small fraction of the overall health insurance m...
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© 2024 MMIT

Humana CEO, Surgeon General Offer COVID-Inspired Lessons

If there’s any upside to the COVID-19 pandemic, it’s that it has laid bare what both the country and health care organizations need to prioritize moving forward, suggested two keynote speakers during the America...
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© 2024 MMIT

Economists Debate Wisdom of Health Care Price Setting

In a Sept. 9 webinar hosted by the Brookings Institution and Robert Wood Johnson Foundation, leading health care economists debated the value of government intervention in prices — and got into an extended argumen...
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© 2024 MMIT

News Briefs

✦ Anthem, Inc. is teaming up with the University of California, Irvine, Apple, Inc., and a company called CareEvolution to launch a study that examines whether devices like the Apple Watch and iPhone can help peop...
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© 2024 MMIT

Centene, Cigna Expand ACA Marketplace Footprint in 2021

Centene Corp. will increase its Affordable Care Act (ACA) exchange offerings by nearly 400 new counties across 13 states next year. The insurer has been broadening its presence on the exchanges over the past few yea...
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© 2024 MMIT

With Megamerger Saga Finally Over, What’s Next in M&A?

The climate for payer mergers and acquisitions (M&A) has cooled substantially at a national level ever since the collapse of the proposed deals between Anthem, Inc. and Cigna Corp. and between Aetna Inc. and Hum...
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© 2024 MMIT

As Transparency Rule Deadline Looms, CMS Doubles Down

The Trump administration — which has made price transparency one of its signature health care initiatives — recently finalized a rule that one expert warns is a signal that CMS is serious about requiring hospita...
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© 2024 MMIT