Health Plan Weekly

Commercial Claims Are Likely to Decline in 2020, Spike in 2021

A previous version of this article incorrectly stated Cori Uccello's title. She is a senior health fellow with the American Academy of Actuaries. This version has been updated. An analysis by actuarial firm Milli...
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COVID-19 Pandemic Could Shift Millions of People Into Individual Market

Under a scenario in which 25 million people lose their employer-sponsored insurance (ESI), enrollment in Affordable Care Act marketplace coverage or other private plans could increase by 6 million, according to a Ma...
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News Briefs

✦ Health Care Service Corp. (HCSC) on May 5 named Maurice Smith its new president and CEO, effective June 1. Smith, HCSC’s current president, will replace David Lesar, who has served as interim CEO since Paula S...
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Health Insurers Hail SCOTUS Ruling in Risk Corridors Case

The Supreme Court’s near-unanimous decision on April 27 to award health insurers $12 billion in unpaid risk corridors funding was certainly a win for the industry, but it might not be as big of a windfall for insu...
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Anthem, Cigna Beat MLR Estimates, Prep for Enrollment Shift

Anthem, Inc., and Cigna Corp. both reported slightly better-than-expected medical loss ratios (MLRs) as part of their first-quarter 2020 earnings, in part due to delays in elective procedures resulting from the COVI...
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Humana, Centene Maintain 2020 Guidance Despite Crisis

Humana Inc. and Centene Corp. are both maintaining their 2020 earnings outlook despite the emergence of the COVID-19 pandemic and economic contraction at the end of the first quarter. Centene’s earnings fell short...
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U.S. Chamber of Commerce Backs Temporary Health Insurance Subsidies

In a notable reversal, U.S. Chamber of Commerce joined America’s Health Insurance Plans (AHIP) and the American Hospital Association (AHA) in supporting broad — but temporary — federal involvement in health in...
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News Briefs

✦ Molina Healthcare, Inc. said on April 30 that it plans to buy Magellan Health, Inc.’s managed care organization, Magellan Complete Care (MCC), for about $820 million. MCC served approximately 155,000 members a...
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