Health Plan Weekly

As COVID-19 Cases Surge, Health Insurers Ease Access to Testing

As the number of known COVID-19 cases continues to increase in the U.S., reaching over 1,600 on March 13, health insurers are taking action to help their enrollees access testing and treatments. A majority of report...
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© 2024 MMIT

News Briefs

✦ On March 9, global insurance brokerage firm Aon PLC agreed to buy fellow broker Willis Towers Watson in a deal that values the new firm at roughly $80 billion, according to a joint press release. The release emp...
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© 2024 MMIT

Worries Mount as Interoperability Rules Near Finalization

As two federal proposed rules aimed at improving health care data sharing — interoperability — between payers, providers and patients await finalization, America’s Health Insurance Plans (AHIP), Medicaid Healt...
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Payers Tap Analytics, Education to Manage Patients’ Asthma

While payers have long used telephonic-based care management teams to improve outcomes for members with asthma, more recently, they’re also deploying algorithms to fine-tune their outreach to members who are in mo...
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Health Care Affordability Is Top of Mind for Voters

Three in 10 likely voters are very or moderately worried about their ability to afford health care over the next year, according to a recent poll from NBC News and the Commonwealth Fund. The poll asked 2,303 people,...
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© 2024 MMIT

News Briefs

✦ Cigna Corp. said in a March 5 press release that it will waive all copays or cost sharing for members whom health practitioners recommend receive coronavirus (COVID-19) testing. America’s Health Insurance Plan...
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© 2024 MMIT

Medicaid Plans Walk Fine Line in Talking About Public Charge

New rules that allow immigration officials to consider use of Medicaid coverage and other non-cash benefits in considering whether to approve applications for legal residence are likely to cause a chilling effect on...
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© 2024 MMIT

Insurers Blast CMS Transparency Rule; ACHP Offers Alternative

Organizations representing health insurers are blasting the Trump administration’s proposed insurer price transparency regulations, saying the rule is anti-competitive and could even force prices higher. In wri...
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Strong MA, Individual Results Drive Fla. Profits, Consolidation

Florida’s health insurers remain highly profitable as the overall market has grown significantly more concentrated, with companies such as Anthem, Inc. and Florida Blue snapping up numerous smaller HMOs over the p...
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© 2024 MMIT

For 2021, MAOs Face Small Pay Boost, ESRD Uncertainty

With an estimated pay boost just under 1% and the continued increase of encounter data used in determining Medicare Advantage plans’ risk scores, MA reimbursement in 2021 isn’t looking as robust as it has in rec...
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© 2024 MMIT