At least nine state-run marketplaces have seen a correlation between skyrocketing ACA premiums and enrollees downgrading to bronze plans, according to a March 9 analysis by Healthinsurance.org. The organization is a privately-run website that offers health insurance educational resources for…
Research & Analysis
As of February, a share of payers and providers had not yet started working toward the application programming interface requirements established by CMS’ interoperability and prior authorization final rule, according to survey results released March 10 by the Workgroup for…
Continuous glucose monitors have been gaining traction among Medicare Advantage members with Type 2 diabetes, according to a study published in the Journal of Managed Care & Specialty Pharmacy‘s March edition. The Humana Healthcare Research team and Joseph Ross, MD,…
Almost every Medicare Advantage beneficiary in a plan that ended coverage for 2026 had at least one other MA prescription drug plan available this year, according to a March 13 KFF analysis. MA pullbacks, further illustrated by enrollment dips, have…
Medicare premiums may go up as rival insurers acquire pharmacy benefit managers, according to a January study published in the American Economic Journal: Applied Economics. “The PBM has an incentive to potentially disadvantage the rival insurers, which could involve passing…
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The demographics and clinical statuses of Medicare Advantage enrollees have been getting more diverse over time, according to research published March 10 in the American Journal of Managed Care. The researchers reviewed enrollment files and pharmacy data spanning 2012 to…
Health insurance disenrollment is associated with greater death risk for opioid use disorder patients, according to a JAMA Psychiatry study published March 4. The study reviewed patients with both private and public insurance who were at least 16 years old…
Medicare Advantage plans looking to maintain no-premium models could face 50% cuts to supplemental benefits and $1,000 more in older adults’ cost exposure in 2027, according to February reports commissioned by health insurance trade association AHIP. Wakely Consulting Group conducted…
Researchers identified 13.4% of young adults with and 35.6% without complex medical conditions ended up disenrolled from Medicaid at 19 years old, according to a study published Feb. 16 in JAMA Pediatrics. Researchers from the University of Chicago, the University…
Medicare Advantage margins are outperforming other lines of business, according to a Feb. 23 KFF data brief. The analysis relied on 2024 insurer-reported financial data found in Mark Farrah Associates’ Health Coverage Portal database, looking across individual, group, Medicaid and…