AIS’s Directory of Health Plans

Datapoint: Michigan Health System to Acquire Ohio’s Summa Health

July 16, 2019

Southeast Michigan-based Beaumont Health is set to acquire another health system, Akron, Ohio’s Summa Health. The deal would add four hospitals to Beaumont’s eight. Summa Health also operates a health insurance unit, SummaCare, with 64,912 current members. About 35% of SummaCare’s members are enrolled in Medicare Advantage products, with another 30% enrolled in group risk plans.

Southeast Michigan-based Beaumont Health is set to acquire another health system, Akron, Ohio’s Summa Health. The deal would add four hospitals to Beaumont’s eight. Summa Health also operates a health insurance unit, SummaCare, with 64,912 current members. About 35% of SummaCare’s members are enrolled in Medicare Advantage products, with another 30% enrolled in group risk plans.

Source: AIS’s Directory of Health Plans

Datapoint: Appeals Court Takes Up ACA Case That Could Leave Millions Uninsured

July 15, 2019

A federal appeals court in New Orleans last week took up the lower court ruling in Texas v. United States that declared the Affordable Care Act (ACA) unconstitutional, which, if upheld, could leave health coverage for millions in jeopardy. As of the first quarter of 2019, 11,456,261 people are currently enrolled in exchange plans, and analysts estimate that about 20 million people are insured through programs created by the law.

A federal appeals court in New Orleans last week took up the lower court ruling in Texas v. United States that declared the Affordable Care Act (ACA) unconstitutional, which, if upheld, could leave health coverage for millions in jeopardy. As of the first quarter of 2019, 11,456,261 people are currently enrolled in exchange plans, and analysts estimate that about 20 million people are insured through programs created by the law.

Source: AIS’s Directory of Health Plans

Datapoint: New Hampshire Delays Medicaid Work Requirements

July 11, 2019

New Hampshire Governor Chris Sununu (R) announced he is halting rollout of the state’s Medicaid work requirements program until November, due to lack of participation that would have led to sweeping cuts from the Medicaid rolls. About 18,000 people in the target population, the state’s approximately 50,000 adult Medicaid expansion enrollees, did not meet any of the reporting requirements. Many enrollees still were not aware of the new rules despite outreach efforts, according to state officials. Of New Hampshire’s 175,234 Medicaid beneficiaries, about 28.5% are required to participate in the community engagement program.

New Hampshire Governor Chris Sununu (R) announced he is halting rollout of the state’s Medicaid work requirements program until November, due to lack of participation that would have led to sweeping cuts from the Medicaid rolls. About 18,000 people in the target population, the state’s approximately 50,000 adult Medicaid expansion enrollees, did not meet any of the reporting requirements. Many enrollees still were not aware of the new rules despite outreach efforts, according to state officials. Of New Hampshire’s 175,234 Medicaid beneficiaries, about 28.5% are required to participate in the community engagement program.

Source: AIS’s Directory of Health Plans

Datapoint: UnitedHealthcare Enrolls More Than a Quarter of Medicare Advantage Lives

July 10, 2019

Of the 55.8 million people currently covered by Medicare, 40.4% are currently enrolled in Medicare Advantage (MA) plans. UnitedHealthcare is the current MA leader, with 25.9% national market share.

Of the 55.8 million people currently covered by Medicare, 40.4% are currently enrolled in Medicare Advantage (MA) plans. UnitedHealthcare is the current MA leader, with 25.9% national market share.

Source: AIS’s Directory of Health Plans

Datapoint: Nearly 40% of Covered Lives Are Enrolled in ASO Products

July 9, 2019

Of all medically covered lives in the U.S., 38.1%, or 124.6 million people, are enrolled in administrative services only (ASO) insurance arrangements, or self-funded plans.

Of all medically covered lives in the U.S., 38.1%, or 124.6 million people, are enrolled in administrative services only (ASO) insurance arrangements, or self-funded plans.

Source: AIS’s Directory of Health Plans