AIS’s Directory of Health Plans

Datapoint: Vermont’s Individual Mandate

March 13, 2019

Vermont lawmakers are struggling with setting financial penalties for its individual mandate law, which resurrects the struck-down provision of the Affordable Care Act that requires residents to have insurance. The ACA’s individual mandate penalty was set at $695, or 2.5% of household income. Vermont, which has 67,171 ACA exchange enrollees, is one of a handful of states that passed an individual mandate last year.

Vermont lawmakers are struggling with setting financial penalties for its individual mandate law, which resurrects the struck-down provision of the Affordable Care Act that requires residents to have insurance. The ACA’s individual mandate penalty was set at $695, or 2.5% of household income. Vermont, which has 67,171 ACA exchange enrollees, is one of a handful of states that passed an individual mandate last year.

Source: AIS’s Directory of Health Plans

Datapoint: Molina Partners With Amazon for Washington Medicaid Members

March 12, 2019

Molina Healthcare last week said it will launch a new partnership with Amazon, serving Washington Apple Health Medicaid members with the ultimate goal of addressing social determinants of health, such as food insecurity, proximity to grocery stores and transportation availability. Molina will offer its adult members a 90-day free trial of Amazon Prime, with the option of continuing to subscribe at a reduced rate of $5.99 per month. Molina is currently the market leader in Washington’s managed Medicaid program, with 715,433 members.

Molina Healthcare last week said it will launch a new partnership with Amazon, serving Washington Apple Health Medicaid members with the ultimate goal of addressing social determinants of health, such as food insecurity, proximity to grocery stores and transportation availability. Molina will offer its adult members a 90-day free trial of Amazon Prime, with the option of continuing to subscribe at a reduced rate of $5.99 per month. Molina is currently the market leader in Washington’s managed Medicaid program, with 715,433 members.

Source: AIS’s Directory of Health Plans

Datapoint: Work Requirements Fail to Take Off in West Virginia, Wyoming

March 11, 2019

Recent bills that would have added work requirements to West Virginia and Wyoming’s Medicaid programs failed to pass in state legislative sessions. Wyoming’s bill died in the House over concerns that vulnerable people may lose health coverage, while the West Virginia bill did not make it to a House vote. West Virginia currently serves 520,849 Medicaid beneficiaries, and Wyoming serves 60,397.

Recent bills that would have added work requirements to West Virginia and Wyoming’s Medicaid programs failed to pass in state legislative sessions. Wyoming’s bill died in the House over concerns that vulnerable people may lose health coverage, while the West Virginia bill did not make it to a House vote. West Virginia currently serves 520,849 Medicaid beneficiaries, and Wyoming serves 60,397.

Source: AIS’s Directory of Health Plans

Datapoint: AmeriHealth Caritas Launches New Value-Based Care Program With BAYADA

March 7, 2019

AmeriHealth Caritas last week announced a new value-based care partnership with BAYADA Home Health Care to improve outcomes for the insurer’s Medicare and Medicaid clients in need of at-home care services. The program aims to reduce hospital admission rates and prevent unnecessary emergency room visits. AmeriHealth’s 777,681 members in Delaware and Pennsylvania will be eligible for the program.

AmeriHealth Caritas last week announced a new value-based care partnership with BAYADA Home Health Care to improve outcomes for the insurer’s Medicare and Medicaid clients in need of at-home care services. The program aims to reduce hospital admission rates and prevent unnecessary emergency room visits. AmeriHealth’s 777,681 members in Delaware and Pennsylvania will be eligible for the program.

Source: AIS’s Directory of Health Plans

Datapoint: Medica Launches Three Programs to Improve Member Health

March 5, 2019

Minnesota-based insurer Medica last week launched three digital-based programs to support its members through “health challenges,” including managing obesity, mitigating the risk of developing type 2 diabetes and caring for an aging or disabled relative. Medica currently serves 1,469,220 members throughout the Midwest, with more than 75% enrolled in risk-based group or self-funded products.

Minnesota-based insurer Medica last week launched three digital-based programs to support its members through “health challenges,” including managing obesity, mitigating the risk of developing type 2 diabetes and caring for an aging or disabled relative. Medica currently serves 1,469,220 members throughout the Midwest, with more than 75% enrolled in risk-based group or self-funded products.

Source: AIS’s Directory of Health Plans