Jeff Lagasse
Last year's increase was the smallest in decades and is seen as an anomaly, as many people deferred care and embraced telemedicine.
The average estimated allowed amounts rose 76.4%, while the average Medicare reimbursements rose 4.7% from 2017 to 2020.
After expanding into three new states, Centene’s MA offerings will be available to a potential 48 million beneficiaries across 36 states.
Cigna has increased its geographic presence in MA by 80% since 2019, with plans in 477 counties across 26 states.
The insurer said the expansion will focus on lowering prescription drug costs – and on improving benefits and the member experience.
Merck plans to submit an application for Emergency Use Authorization to the FDA soon based on these findings.
The American Hospital Association claims the rule is a windfall for insurers, while BCBSA calls it a “win for patients.”
The rule includes a payment dispute resolution process for uninsured or self-pay individuals, and outlines requirements for cost estimates.
The low vaccination rates are concerning because pregnant Americans are at higher risk of experiencing severe outcomes from COVID-19.
The AMA said consolidation leaves millions of Americans with more limited health insurer options.