Health Plan Weekly

2020 Outlook: For Insurers, There’s More Than One ACA Court Case to Watch Chart: Texas v. United States: A Look Back

Though the upcoming elections will shine a bright spotlight this year on the health care policy positions of lawmakers and the Trump administration, the courts will play just as big of a role — if not more — tha...
0 Comments

AHIP Launches Pilot to Field-Test Automated Prior Authorization

Health insurer trade group America’s Health Insurance Plans (AHIP) is partnering with six insurers to test systems and technology designed to automate parts of the prior authorization process in a bid to develop b...
0 Comments

Wall Street Analysts Are Mostly Bullish on 2020 Outlook for MCOs

Analysts from major financial institutions are cautiously optimistic about the value of managed care organization stocks during 2020, citing a more stable regulatory environment and rising revenues across the indust...
0 Comments

MCO Stock Performance, December 2019

Click here for a pdf of the full issue...
0 Comments

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...
0 Comments

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...
0 Comments

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 ...
0 Comments

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...
0 Comments

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...
0 Comments