One of the developing insurance battlefields are members who are forced to choose between paying for healthcare needs or basic needs, such as groceries, said Paul Hain, MD, CMO of GoHealth.
Care Coordination
Seventy-two percent of the country's largest health plans are no longer waiving out-of-pocket costs for COVID-19 treatment, according to research released Aug. 19 by the Peterson-KFF Health System Tracker.
As employees and contractors leave their homes to work, Humana is requiring them to get vaccinated.
Reno, Nev.-based Saint Mary's Regional Medical Center, which is owned by Ontario, Calif.-based Prime Healthcare, will no longer be in network for Prominence HealthFirst, the provider announced Aug. 18.
A trio of health insurance startups announced significant moves that expand their reach or bolster their offerings.
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Aparna Abburi, president of Medicare and CareAllies for Cigna, has been prioritizing keeping her "eyes and ears close to the ground" as she looks to keep up with trends and bolster member experiences.
SilverSummit Healthplan, Centene's Nevada subsidiary, earned a state Medicaid managed care contract, the insurer announced Aug. 18.
Blue Cross Blue Shield of North Carolina is collaborating with Charlotte, N.C.-based Cityblock Health via five Medicaid managed care clinics.
Several hospitals ending inpatient care this year cited lower patient volume as the reason for scaling back services.
Amid COVID-19 surges putting strain on hospital capacities, the Louisiana Hospital Association is calling on CMS to ditch Medicare Advantage's red tape so hospitals can transfer patients to other facilities more fluently.