AIS’s Directory of Health Plans

Datapoint: Clover Health Plots 2020 MA Expansion

September 17, 2019

Tech-focused health insurance startup Clover Health last week said it will expand its Medicare Advantage offerings to eight new counties for the 2020 plan year, growing their market to include 34 counties in seven states. Clover Health currently enrolls 40,411 members in its Medicare Advantage plans, a 29.2% increase from the third quarter of 2018.

Tech-focused health insurance startup Clover Health last week said it will expand its Medicare Advantage offerings to eight new counties for the 2020 plan year, growing their market to include 34 counties in seven states. Clover Health currently enrolls 40,411 members in its Medicare Advantage plans, a 29.2% increase from the third quarter of 2018.

Source: AIS’s Directory of Health Plans

Datapoint: Missouri Voters Consider Medicaid Expansion

September 16, 2019

Advocacy groups in Missouri are working to get Medicaid expansion on the ballot in the state’s 2020 election, a strategy that’s already shown success in Idaho, Maine and Utah. Medicaid enrollment in Missouri has dropped 10.5% to 869,269 lives since August 2018, when the state implemented a new computer system that culled about 100,000 people from the rolls due to previously undetected changes in income.

Advocacy groups in Missouri are working to get Medicaid expansion on the ballot in the state’s 2020 election, a strategy that’s already shown success in Idaho, Maine and Utah. Medicaid enrollment in Missouri has dropped 10.5% to 869,269 lives since August 2018, when the state implemented a new computer system that culled about 100,000 people from the rolls due to previously undetected changes in income.

Source: AIS’s Directory of Health Plans

Datapoint: CVS-Aetna Deal Receives Final Approval

September 11, 2019

A federal judge last week granted full clearance to the Justice Department’s decision to allow CVS Health to purchase Aetna, the third-largest health insurer in the nation, despite antitrust concerns. Aetna currently enrolls 21,402,587 members, with 16.9% enrolled in commercial risk-based products.

A federal judge last week granted full clearance to the Justice Department’s decision to allow CVS Health to purchase Aetna, the third-largest health insurer in the nation, despite antitrust concerns. Aetna currently enrolls 21,402,587 members, with 16.9% enrolled in commercial risk-based products.

Source: AIS’s Directory of Health Plans

Datapoint: Cigna to Eliminate Cost-Sharing From Two Gene Therapies

September 10, 2019

Cigna Corp. last week said it will make two gene therapies, Spark Therapeutics and Novartis’ Luxturna, which treat blindness, and Novatis’ muscular atrophy drug Zolgensma available to members at no cost. Gene therapies are among the most expensive drugs in the world, with Zolgensma currently holding the top spot. Cigna, which merged with Express Scripts in 2018, currently serves 16,400,235 people, with 82.9% enrolled in self-funded plans. Cigna said it would consider adding more gene therapies to the program as more become available.

Cigna Corp. last week said it will make two gene therapies, Spark Therapeutics and Novartis’ Luxturna, which treat blindness, and Novatis’ muscular atrophy drug Zolgensma available to members at no cost. Gene therapies are among the most expensive drugs in the world, with Zolgensma currently holding the top spot. Cigna, which merged with Express Scripts in 2018, currently serves 16,400,235 people, with 82.9% enrolled in self-funded plans. Cigna said it would consider adding more gene therapies to the program as more become available.

Source: AIS’s Directory of Health Plans

Datapoint: Medicare Advantage Penetration Reaches 40%

September 9, 2019

Of the 55,847,043 people currently receiving Medicare benefits nationwide, 40.4% are currently enrolled in a Medicare Advantage (MA) plan. Minnesota currently has the highest individual MA penetration rate of any state, at 57.1%.

Of the 55,847,043 people currently receiving Medicare benefits nationwide, 40.4% are currently enrolled in a Medicare Advantage (MA) plan. Minnesota currently has the highest individual MA penetration rate of any state, at 57.1%.

Source: AIS’s Directory of Health Plans