Payer

Nearly half of Medicaid managed care plans' medical loss ratio reports submitted to states were incomplete, according to a report from the HHS inspector general's office.

Payers and their venture arms have spent 2022 investing in a variety of new healthcare companies, including digital insurance marketplaces and behavioral health providers.

GoHealth, a health insurance marketplace and Medicare-focused digital health company, has closed a $50 million private investment round that included the backing of Elevance Health.

The five states where residents currently see the cheapest cost of care on average are Kentucky, Arkansas, Maryland, Alabama and Tennessee, according to data from the Missouri Economic Research and Information Center.

The Comprehensive Primary Care Plus Program did not result in improvements in costs or quality for private insurers, a study published in the September issue of Health Affairs found. 

CMS is seeking feedback on a policy that requires state Medicaid agencies to keep beneficiaries enrolled through the end of the public health emergency for the COVID-19 pandemic, according to a Sept. 23 memo. 

Twelve Massachusetts health systems are receiving Blue Cross Blue Shield of Massachusetts-funded grants for projects to improve equity of care and race, ethnicity and language data collection practices.

With as many as 15 million people expected to lose Medicaid coverage when the pandemic-era public health emergency ends, CMS can do more to reduce administrative hurdles to verify eligibility, advocates write in Health Affairs. 

Medicare Part B premiums and deductibles are set to decrease in 2023, one year after seeing a historic hike. 

Alabama, Hawaii, Florida, New York and New Jersey are the states with the highest incidences of low-value care, a new study published in Health Affairs found.