Several health insurers are entering or expanding their footprint in the ACA marketplaces in 2021. It marks the third year of consecutive growth for the marketplaces, according to an analysis published Nov. 23 by the Kaiser Family Foundation.
Payer
A new Trump administration rule on drug pricing will require health insurers to publicly disclose their negotiated rates for prescription drugs, according to Kaiser Health News.
Here are six recent contract agreements and conflicts between payers and providers:
Telehealth use among Anthem's Medicare Advantage members grew exponentially during the early months of the COVID-19 pandemic, according to a new report the insurer published Nov. 17.
Rockledge, Fla.-based Health First may no longer be considered an in-network provider for Cigna members if the organizations don't reach a new reimbursement agreement, according to Florida Today.
Blue Cross and Blue Shield of North Carolina will continue waiving member cost-sharing for COVID-19 testing and treatment through spring 2021, and will maintain other initiatives put in place to help patients access care during the pandemic, the insurer said…
Expanding health insurance coverage to uninsured Americans and improving the design of high-deductible health plans are initiatives that the American Medical Association supports, the organization's house of delegates said.
Patients and employers could see their healthcare costs decrease by 62 percent if diagnostic imaging was shifted from hospital outpatient settings to lower-cost imaging centers, according to a report from UnitedHealth Group.
Nearly a quarter of all claims for COVID-19 tests are coming from out-of-network providers, and the share of claims for tests with inflated prices has grown since this summer, according to a survey from the health insurance trade group America's Health…
The board of directors of America's Health Insurance Plans named Bruce Broussard, president and CEO of Humana, as its new chair for 2021.
