Court arguments began July 26 in the trial over an Affordable Care Act provision that requires payers to cover preventive services, including vaccinations, cancer screenings and HIV prevention drugs, according to The Commonwealth Fund, a nonprofit that supports independent research.
Payer
From several payers moving ahead with plans to offer coverage on their state's ACA marketplace to increased expansion of Medicare Advantage offerings nationwide, these are 13 recent payer moves to exit or enter markets:
At the request of federal lawmakers, the Congressional Budget Office released a report July 21 that details the financial impact of extending the ACA premium tax credits to become permanent, along with closing the "family glitch."
Among the more than 150 million Americans who receive health coverage through their employer, there are large health disparities across race, ethnicity and income, according to a study published July 25 by Morgan Health.
The Michigan Insurance and Financial Services Department has ordered Salvasen Health to cease all operations for allegedly selling insurance policies without a state license.
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Bright Health is proposing rate hikes that would increase individual premiums nearly 49 percent in seven Colorado counties, according to Summit Daily.
New Jersey's employee health insurance program, administered by Horizon Blue Cross Blue Shield, could see rates increase by up to 24 percent, prompting calls from state Republicans to investigate the program that has seen previous controversy, according to the New…
Though two years of a pandemic were tough for the healthcare system, the post-COVID landscape is presenting opportunities for payer innovations and growth, according to a July 19 analysis from management consulting firm McKinsey and Co.
The Better Medicare Alliance's 2022 "State of Medicare Advantage Report" released July 20 is a compilation of the latest MA research and data and ranked the states by MA enrollment as a percentage of overall Medicare enrollment.
Today's pandemic-rewired healthcare environment offers health plans a unique opportunity to help differentiate themselves by developing "virtual-first" health plans.