Tuesday, July 19, 2022: Payers

A new analysis of marketplace insurers’ early rate filings in 13 states and the District of Columbia found that they are proposing higher premium hikes for 2023. According to the analysis, the median proposed rate increase is 10 percent across 72 insurers. Eight...

Tuesday, July 19, 2022: Payers

Clover Health announced it plans to expand its Medicare Advantage footprint into 13 new counties across three states for the 2023 plan year. Clover currently offers coverage in 209 counties, covering about 85,000 people. Its expansion into Georgia, South Carolina, and...

Monday, July 18, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) proposed a 2.7 percent boost to outpatient hospital payment rates for next year in addition to an enhanced payment for facilities that purchase N95 masks that are manufactured in the United States. CMS...

Monday, July 18, 2022: Payers

UnitedHealthcare announced Friday it plans to stop charging fully insured members a co-pay for insulin. UnitedHealth Group CEO Andrew Witty said on an earnings call that the timing of the move — which also includes cutting co-pays for other critical medicines like...

Thursday, July 14, 2022: Payers

Senator Joe Manchin said that he’s wary of adding an extension for enhanced subsidies for ACA plans to a slimmer reconciliation package, citing a fear of anything he believes would contribute “to the horrible inflation triggers we have.” Insurers and...

Friday, July 8, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) released its proposed 2023 Physician Fee Schedule rule, revealing a small decline in physician Medicare payments next year. CMS proposed a 2023 fee schedule conversion factor of $33.08 for each relative unit which...