The study authors concluded that “Medicaid enrollees on paper have stronger network adequacy protections than QHP enrollees” referring to those who are covered by Qualified Health Plans through ACA Marketplaces. However, standards differ dramatically at the state level.
After completely exiting the ACA exchanges in 2018, CVS plan to re-enter them in 2022. Last year, enrollment through federal exchanges increased, and Aetna CEO Karen Lynch said the markets have stabilized.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
On the heels of a $140 million funding round, insurance startup Oscar Health confidentially filed for an IPO.
With a new nominee as the Supreme Court prepares to hear a case that could determine the future of the Affordable Care Act, the health law’s future has been thrown into question. According to the Robert Wood Johnson Foundation, the number of uninsured could increase by 70% if the ACA is overturned.
After raising $635 million last year, insurance startup Bright Health brought in another $500 million led by three private equity firms. Starting next year, the company said it will offer small-group plans and services for self-insured companies.
Cigna plans to add marketplace plans in 79 new counties next year, part of a planned expansion on the individual exchanges.
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
Insurance startup Oscar Health plans to expand to 19 new markets next year, pending regulatory approval. The company will offer individual and family health plans in four new states, and will expand its presence in existing states.
UnitedHealthcare plans to offer individual marketplace plans in Maryland in 2021. The insurer is taking a second look at the ACA exchanges after it had largely exited them.
Centene CEO Michael Neidorff said the company would bring in more than $100 billion in revenue after its acquisition of WellCare, which boosted its membership to 24 million. Centene still has yet to give guidance for the combined company in 2020, but expects to share those numbers in March.
All told, the company will be active in 26 markets across 15 states, pending regulatory approval.
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
Rolling out the ratings nationwide is part of the Trump Administration's larger initiative to inject cost and quality transparency into the healthcare system.
The company's latest growth push would put Bright in 22 markets across 13 states, including major metropolitan areas like Maricopa County in Arizona, Denver, Jacksonville, Tampa, Chicago, New York City and Cleveland.
"Earlier concerns that the market would collapse or insurer exits would lead to counties with no coverage available at all have proven unfounded," the Kaiser Family Foundation wrote in an analysis.
The combined company will have around 22.3 million members across all 50 states, ranking it as the fourth largest insurer in the country.
Led by former UnitedHealthcare CEO Bob Sheehy, Bright is one of a crop of insurance startups looking to disrupt the industry with better consumer experiences and closer integrations with providers.