March

Experts Predict Permanent Coverage Shifts Post-Pandemic

March 19, 2021

Millions of people in the United States have lost their employer-sponsored health insurance as a result of the pandemic and have had to find new sources of coverage — if they have been able to get insurance at all. While experts are still working to assess the scale of the fallout, they say it’s very likely that the enrollment mix in the U.S. has changed permanently.

To access this post, you must purchase a subscription plan. Click Here to purchase.

Already a member? Click Here to login.

Medicare’s Pay Increase for COVID Vaccines May Cost Plans

March 19, 2021

CMS has significantly boosted the amount that Medicare will pay for administering COVID-19 vaccines, a move that appears to be a positive development for health care providers and retail pharmacies but a potential headwind for commercial health insurers.

To access this post, you must purchase a subscription plan. Click Here to purchase.

Already a member? Click Here to login.

Plans Want Diagnoses From Phone Visits Included in MA Risk Adjustment

March 19, 2021

A health insurer trade group is calling on the federal government to change Medicare Advantage (MA) risk adjustment calculations to include telephone visits, saying the issue has become urgent due to the pandemic, which has seen in-person visits drop and telehealth visits increase dramatically.

To access this post, you must purchase a subscription plan. Click Here to purchase.

Already a member? Click Here to login.

News Briefs

March 19, 2021

✦ The U.S. Senate on March 18 narrowly confirmed Xavier Becerra, the current California attorney general, as the new secretary of HHS, prompting a slew of statements from health care industry trade and interest groups congratulating Becerra. For example, Matt Eyles, president and CEO of America’s Health Insurance Plans, said in a statement that AHIP looks forward to working with Becerra “to protect and build upon the Affordable Care Act to expand health coverage for all Americans, address the underlying cost of health care, and eliminate racial and ethnic disparities in medical care.” Becerra himself tweeted that “I’m honored and humbled by today’s vote in the Senate. Thank you. I’m ready to get to work at @HHSgov.” Visit https://bit.ly/3lzZyYD.

To access this post, you must purchase a subscription plan. Click Here to purchase.

Already a member? Click Here to login.

Banking On MA’s Bright Future, Alignment Joins IPO Trend

March 18, 2021

Orange, Calif.-based Alignment Healthcare, Inc. is now the third startup insurer in recent months to go public. Banking on the strong value proposition of Medicare Advantage, Alignment said it already has a “national expansion strategy” that it will put into action next year, but some experts question whether the measured growth the insurer has achieved primarily in California can be duplicated in other markets. The initial public offering, launched on March 18, is expected to be priced between $17 and $19 per share.

To access this post, you must purchase a subscription plan. Click Here to purchase.

Already a member? Click Here to login.

MA Plans Test New Flexibilities Targeted to Diabetic Members

With Chart: Top 10 Condition-Specific Benefits: Diabetes

March 18, 2021

From lowering cost sharing on select services to participating in the new Part D insulin model, Medicare Advantage insurers are incorporating new benefit flexibilities into their overall management of diabetes, which impacts one in every three Medicare beneficiaries.

To access this post, you must purchase a subscription plan. Click Here to purchase.

Already a member? Click Here to login.