AIS’s Directory of Health Plans

Datapoint: Blue Shield of California Launches COVID-19 Triage Tool

March 25, 2020

Blue Shield of California last week said its in-network hospitals will have access to a new free tool, the “COVID-19 Screener and Emergency Response Assistant.” The digital tool, which asks patients basic questions about their current health status, will help hospitals triage potential coronavirus cases. Blue Shield of California currently serves 3,304,237 lives, with 74.3% enrolled in commercial risk-based products.

Blue Shield of California last week said its in-network hospitals will have access to a new free tool, the “COVID-19 Screener and Emergency Response Assistant.” The digital tool, which asks patients basic questions about their current health status, will help hospitals triage potential coronavirus cases. Blue Shield of California currently serves 3,304,237 lives, with 74.3% enrolled in commercial risk-based products.

Source: AIS’s Directory of Health Plans

Datapoint: Virginia Eliminates Medicaid Copays

March 24, 2020

In an effort to increase access to health care as the novel coronavirus spreads, the state of Virginia has temporarily eliminated all Medicaid copayment requirements. Virginia currently serves 1,149,850 Medicaid beneficiaries, with 96.3% enrolled in managed care plans. The state has also extended prescription refills to 90 days and expanded telehealth coverage, Gov. Ralph Northam (D) said last week.

In an effort to increase access to health care as the novel coronavirus spreads, the state of Virginia has temporarily eliminated all Medicaid copayment requirements. Virginia currently serves 1,149,850 Medicaid beneficiaries, with 96.3% enrolled in managed care plans. The state has also extended prescription refills to 90 days and expanded telehealth coverage, Gov. Ralph Northam (D) said last week.

Source: AIS’s Directory of Health Plans

Datapoint: Florida Granted First COVID-19 Emergency Medicaid Waiver

March 19, 2020

CMS this week granted Florida a Section 1135 Medicaid waiver request to fight the impact of COVID-19, the agency’s first emergency waiver approval. The state will now be able to provide care in alternative settings, use out-of-state providers and hospitals and waive screening requirements for nursing home placement. Florida currently serves 3,988,653 million Medicaid beneficiaries, with 78.8% enrolled in managed care plans.

CMS this week granted Florida a Section 1135 Medicaid waiver request to fight the impact of COVID-19, the agency’s first emergency waiver approval. The state will now be able to provide care in alternative settings, use out-of-state providers and hospitals and waive screening requirements for nursing home placement. Florida currently serves 3,988,653 million Medicaid beneficiaries, with 78.8% enrolled in managed care plans.

Source: AIS’s Directory of Health Plans

Datapoint: Blue Cross NC Expands Value-Based Care Program

March 18, 2020

FirstHealth of the Carolinas last week joined Blue Cross and Blue Shield of North Carolina’s Blue Premier value-based care program, making it the eighth health system to do so. FirstHealth operates four hospitals in the state, serving patients in 15 counties. BlueCross NC is currently the largest insurer in the state, serving 2,395,252 lives, or 27.4% of the insured population.

FirstHealth of the Carolinas last week joined Blue Cross and Blue Shield of North Carolina’s Blue Premier value-based care program, making it the eighth health system to do so. FirstHealth operates four hospitals in the state, serving patients in 15 counties. BlueCross NC is currently the largest insurer in the state, serving 2,395,252 lives, or 27.4% of the insured population.

Source: AIS’s Directory of Health Plans

Datapoint: Managed Medicaid Plans Enroll Nearly Three-Quarters of Overall Market

March 16, 2020

Of the 73.7 million Medicaid beneficiaries in the U.S., 73.1% are currently enrolled in a managed care plan. Just 12 state Medicaid programs remain entirely fee-for-service.

Of the 73.7 million Medicaid beneficiaries in the U.S., 73.1% are currently enrolled in a managed care plan. Just 12 state Medicaid programs remain entirely fee-for-service.

Source: AIS’s Directory of Health Plans