2021 Outlook: Impact of Pandemic Utilization Trends Remains Unclear
Since the start of the COVID-19 pandemic, the managed care industry has wrestled with how to project utilization of normal care and assess the risk of funding care related to the virus, especially since most carrier...
For Michigan Payer’s New President, Technology Is a ‘Priority’
Health insurers face dozens of technological challenges in coming years, as federal regulations mandating electronic health record interoperability and price transparency mean that every health insurer has had to st...
UnitedHealth Saw COVID Costs, Care Deferral Rise in 4Q
In the fourth quarter of 2020, health care spending patterns experienced by the country’s largest health insurer “returned to seasonal baselines” even as COVID-19 cases surged all over the U.S. Such is one maj...
MCO Stock Performance, December 2020
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Trump Administration Gives MA Plans a Parting Gift With Hefty Payment Boost
As one of its final moves before the Trump administration officially ended, CMS on Jan. 15 gave Medicare Advantage (MA) plans a 2022 payment increase that impressed Wall Street analysts.
The 2022 Medicare Advanta...
News Briefs
✦ Not long after his inauguration on Jan. 20, President Joe Biden issued a “regulatory freeze” memo to the heads of executive departments and agencies — a routine move for new administrations that temporaril...
ACA Subsidies Could Expand, but Public Option Is Unlikely
With the new Congress largely in place, and the new presidential administration set to take power on Jan. 20, health care insiders are beginning to make sense of what legislation and rulemaking the Biden administrat...
Payers Stop Funding Reps Who Didn’t Certify Election Results
Insurers and other health care organizations are halting or reconsidering donations to federal lawmakers who voted against certifying the results of the presidential election, in moves they say are designed to count...
Tennessee’s ‘Aggregate Cap’ Medicaid Waiver Gets CMS OK
Continuing its spree of approving ambitious waivers before the end of the Trump administration, CMS on Jan. 8 gave Tennessee its blessing to become the first state in the nation to cap its Medicaid funding in exchan...
Executive Compensation Data for Presidents and/or CEOs of Blue Cross and Blue Shield Affiliates, 2019
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