CMS Projects ‘Healthy’ MA Pay Raise of 2.8% for 2022
Following up on its promise to advance the timeline for releasing rates and other information relevant to the 2022 bid cycle, CMS on Oct. 30 posted Part 2 of the 2022 Advance Notice, which indicated Medicare Advanta...
Medicaid MCOs Ponder Rates, COVID Unknowns for 2021
As select publicly traded insurers highlighted how increased Medicaid membership, rising yet still-below-normal levels of utilization, COVID-related costs and rate adjustments affected their third-quarter 2020 earni...
COVID-19 Sounds Insurer Call to Action on Racism in Health Care
As the COVID-19 pandemic continues to ravage the U.S., recent research from the Kaiser Family Foundation demonstrates that people of color are more likely to test positive, require hospitalization and higher levels ...
High-Priced Stand-alone PDPs Dominate 2021 Insulin Demo
As Medicare Advantage and Part D sponsors started promoting their offerings during the 2021 Annual Election Period that began on Oct. 15, several major insurers notably mentioned their participation in the first yea...
News Briefs
✦ Oklahoma last month released a request-for-proposals from qualified insurers interested in participating in the state’s first managed Medicaid program. Beginning on Oct. 1, 2021, managed care organizations w...
High-Priced PDPs Dominate 2021 Insulin Demo
As Medicare Advantage and Part D sponsors started promoting their offerings during the 2021 Annual Election Period that began on Oct. 15, several major insurers notably mentioned their participation in the first yea...
Increased Weights, Cut Points Likely Led to Drop in 2021 Stars
Although more than three-quarters of Medicare Advantage beneficiaries remain in highly rated plans, the percentage of MA Prescription Drug (MA-PD) plan enrollees estimated to be in contracts receiving 4 or more star...
MAOs Appeal to Seniors’ Home Needs With 2021 Benefits
Major geographic expansions, increased interest in Special Needs Plans (SNPs), and $0 telehealth visits and other benefits aimed at keeping seniors healthy at home are just a few of the 2021 Medicare Advantage trend...
Once-Sanctioned Plan Seeks Damages From Enrollment Processor
An earlier version of this story incorrectly stated that Delaware Life Insurance Co. (DLIC) was sitting out the 2021 Medicare Annual Election Period (AEP). AIS Health has since learned that DLIC was released from sa...
Walmart Dives Deeper Into Medicare Waters With Brokerage, Clover Plan
Through its longstanding Medicare Part D partnership with Humana Inc., Walmart has always had its toe in the insurance market. But two moves unveiled this month indicate the retail giant is digging deeper into the h...