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…
Research & Analysis
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…
Patients who take advantage of zero-cost preventive screenings see better health outcomes and reduced spending, according to January research from BCBS Association and Blue Health Intelligence. The groups reviewed claims data of BCBS members with breast or colorectal cancer. The…
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Younger employees are posing a more substantial cost risk, according to a Feb. 4 whitepaper from UnitedHealthcare and Health Action Council, which focuses on employer healthcare programs. The research relied on data from more than 225,000 HAC members with UnitedHealthcare plans.…
About 1 in 5 claims sent to fully insured commercial health insurers in Massachusetts were denied in 2024, according to February findings from the Massachusetts Health Policy Commission. These insurers submit claim denial data to the commission’s Office of Patient…
The acquisition of ASCs by UnitedHealth Group’s Optum, parent company of ASC chain SCA Health, was associated with double-digit price increases for competing insurers, according to a February study published in Health Affairs. The study examined Optum’s acquisitions of physician…
Four studies involving Oakland, Calif.-based Kaiser Permanente, Arkansas BCBS and Independence Blue Cross identified total cost savings through psychiatric collaborative care models, according to reports from the Mental Health Treatment and Research Institute, and the Bowman Family Foundation. Health plan…
Humana saw a 24.3% decrease in inpatient admissions, or a 229,000-stay dip, for Medicare Advantage members in value-based care arrangements versus those in traditional Medicare in 2024, according to Humana’s “12th Annual Value-based Care Report,” published Feb. 4. Humana reviewed…