Health Plan Weekly

MCO Stock Performance, December 2019

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

✦ Startup health care company Bright Health said Jan. 8 that it signed an agreement to acquire the California-based, family-owned health plan Universal Care, which is doing business as Brand New Day. Brand New Day...
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2020 Outlook: M&A May Slow Somewhat, but Prime Targets Still Abound

The pace of health care mergers and acquisitions — which ran at a fever pitch in 2018 and 2019 with multiple high-profile and high-value transactions — likely will cool slightly in 2020, given lofty asset prices...
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2020 Outlook: Expect Push for Waivers, Medicaid Referendums This Year

Conservative states are likely to push hard in 2020 for CMS approval of Medicaid waivers that will allow them to implement policies such as work requirements, while voters in some of the 14 states that have not yet ...
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HealthCare.gov Enrollment Stays Flat; Rule Perturbs Plans with Chart: HealthCare.gov Sign-Ups Remain Steady

Now that the open enrollment period has ended for the 38 states that use HealthCare.gov to enroll people in Affordable Care Act (ACA) marketplace plans, the preliminary sign-up numbers offer relatively reassuring ne...
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Report Illustrates Challenge of Launching New MA Flex Benefits

Despite Medicare Advantage insurers’ enthusiasm for increased flexibility in allowable supplemental benefits and a slew of recent plan releases touting goodies such as pest control and “Papa Pals” for the 2020...
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News Briefs

✦ HHS’s formula for calculating payments associated with the Affordable Care Act’s risk adjustment program is not “arbitrary and capricious,” a three-judge panel of the Tenth Circuit Court of Appeals ruled...
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