Health Plan Weekly

News Briefs

✦ UnitedHealthcare will expand its presence on the Affordable Care Act exchanges by offering plans in at least one additional state in 2021. Maryland Gov. Larry Hogan (R) said on May 12 that the insurer will join ...
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COVID May Prod Insurers to Give ACA Exchanges Another Look

As the impact of the COVID-19 pandemic continues to reverberate throughout the U.S. economy, it’s become clear that there will be a major enrollment shift away from employer-sponsored plans and into Medicaid and t...
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Outdated Regs, Reimbursement May Roll Back Telehealth Gains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...
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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...
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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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