Outdated Regs, Reimbursement May Roll Back Telehealth Gains
Although use of telehealth services has surged in recent months, experts say that the permanence of a shift to virtual care is far from certain, unless regulations and the industry’s reimbursement model change dra...
CVS CEO: COVID Testing Sites Validate HealthHUB Strategy
Since acquiring Aetna, CVS Health Corp. has touted its HealthHUB stores — which include expanded clinics, labs for health screening, and space for wellness pursuits like yoga — as the linchpin of its plan to sta...
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...
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...
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...
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...
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...
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...
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...