The incoming Trump administration has been unclear about its vision for the Medicare program, but the president-elect has encouraged lawmakers to start making cuts, which goes hand-in-hand with bolstering the interests of private insurers. But public sentiment does not view health insurance favorably, so what's the alternative?
While...National News
Insurers are looking for new markets to expand their footprint and some have settled on individual coverage health reimbursement arrangements (ICHRAs) as a new business opportunity.
Oscar Health, Centene and Highmark have all expressed the intention to expand into ICHRAs by marketing it as a way to assist employers rein in healthcare...
Commercial and Medicare Advantage (MA) health insurance markets saw differing concentration trends in 2021.
The 2021 American Medical Association Competition in Health Insurance report found that 75% of the 383 metropolitan statistical area (MSA)-level markets were highly concentrated, up from 73% in 2020 and 71% in 2014. In 91% of...
This week in commercial health insurance news, a study suggests there could be new ways to innovate cost savings for employers, commercial payers are pushing surgery centers over hospitals, and how utilization during COVID-19 is affecting profits for insurance companies. Also, a Kaiser study demonstrates that tying insurance...Arizona News
In a recent study, the American Journal of Managed Care (AJMC) investigated the rate of utilization and spending under Banner Health's Medicare and commercial insurance contracts in Maricopa County.
The amount of financial risk assumed by the delivery system under the contracts varied and study authors found that within Medicare,...Arizona News
The National Committee for Quality Assurance ranked over 1,000 health plans on measures of quality, member satisfaction and the committee's survey accreditation results. The ratings aim to highlight patient care outcomes and how patients feel toward those outcomes and the care they are receiving.
The highest performing plans...