AIS’s Directory of Health Plans

Datapoint: Two MA-PD Contracts Score Below 3 Stars in 2022 Ratings

October 21, 2021

Just two Medicare Advantage Prescription Drug contracts (MA-PDs), from Imperial Health Plan of California and Centene Corp.’s Buckeye Health, scored a 2.5 or below in CMS’s 2021 star quality ratings. The four contracts currently serve 8,353 members. No contracts received a low performance warning for 2022.

Just two Medicare Advantage Prescription Drug contracts (MA-PDs), from Imperial Health Plan of California and Centene Corp.’s Buckeye Health, scored a 2.5 or below in CMS’s 2021 star quality ratings. The two contracts currently serve 8,353 members. No contracts received a low performance warning for 2022.

Source: AIS’s Directory of Health Plans

Datapoint: Priority Health Launching Travel-Focused Plans

October 20, 2021

Michigan-based insurer Priority Health on Oct. 18 said it will launch new, travel-focused insurance products beginning in January 2022. Partnering with Cigna, the MyPriority Travel plans will provide in-network coverage via Cigna providers when members are outside of Michigan for remote work or personal travel. Priority Health is the second-largest insurer in Michigan, behind Blue Cross Blue Shield of Michigan, with 1,071,559 members.

Michigan-based insurer Priority Health on Oct. 18 said it will launch new, travel-focused insurance products beginning in January 2022. Partnering with Cigna, the MyPriority Travel plans will provide in-network coverage via Cigna providers when members are outside of Michigan for remote work or personal travel. Priority Health is the second-largest insurer in Michigan, behind Blue Cross Blue Shield of Michigan, with 1,071,559 members.

Source: AIS’s Directory of Health Plans

Datapoint: CMS Releases 2022 Star Ratings

October 19, 2021

More than 7.1 million people are currently enrolled in a Medicare Advantage Prescription Drug (MA-PD) plan that earned an overall 5-star rating from CMS for the 2022 plan year. Just 8,353 people are enrolled in an MA-PD plan scoring an overall 2.5. No plans scored below a 2.5 this year.

More than 7.1 million people are currently enrolled in a Medicare Advantage Prescription Drug (MA-PD) plan that earned an overall 5-star rating from CMS for the 2022 plan year. Just 8,353 people are enrolled in an MA-PD plan scoring an overall 2.5. No plans scored below a 2.5 this year.

Source: AIS’s Directory of Health Plans

Datapoint: AmeriHealth Caritas to Enter Exchange Market

October 18, 2021

Longtime Medicaid insurer AmeriHealth Caritas will launch its first Affordable Care Act exchange products in North Carolina, with coverage beginning Jan. 1, 2022. The six plans will be available in 25 counties in the state. The insurer said its “Next Generation Model of Care” aims to address its members social needs and improve health equity. Blue Cross and Blue Shield of North Carolina currently dominates the state’s exchange market with about 400,000 members, 77.8% of all exchange lives.

Longtime Medicaid insurer AmeriHealth Caritas will launch its first Affordable Care Act exchange products in North Carolina, with coverage beginning Jan. 1, 2022. The six plans will be available in 25 counties in the state. The insurer said its “Next Generation Model of Care” aims to address its members social needs and improve health equity. Blue Cross and Blue Shield of North Carolina currently dominates the state’s exchange market with about 400,000 members, 77.8% of all exchange lives.

Source: AIS’s Directory of Health Plans

Datapoint: Ochsner to Launch MA Org in Louisiana

October 14, 2021

New Orleans-based health system Ochsner Health is launching a Medicare Advantage organization, with enrollment beginning in the 2022 plan year. The plans will offer $0 premiums and copays, plus localized wellness benefits. Humana Inc. is the current market leader in Louisiana, serving 51.0% of Medicare lives with 214,277 members.

New Orleans-based health system Ochsner Health is launching a Medicare Advantage organization, with enrollment beginning in the 2022 plan year. The plans will offer $0 premiums and copays, plus localized wellness benefits. Humana Inc. is the current market leader in Louisiana, serving 51.0% of Medicare lives with 214,277 members.

Source: AIS’s Directory of Health Plans