Medicare & Medicaid
The study suggests continued payment reforms and increasing computer-based decision-support tools.
Insurers posted profits, but are wary of the continuing effects of the COVID-19 pandemic, especially in Q1 of this year.
The ACA business has improved, and Aetna will sell individual coverage in 2022, CEO says.
CMS cited the economic and health impacts of the pandemic, which make it difficult for Medicaid recipients to fulfill the work requirements.
The most widely offered benefits include vision, hearing, fitness and dental care.
As many as 3 million people lost their employer-based coverage between March and September of 2020.
Utilization among whites decreased more than among Black or Hispanic populations, but the largest utilization decreases were among Asians.
Humana is also working with CMS on a demonstration program for a hospice benefit for MA members.
Prior authorization is also eliminated for 3D image post-processing, including the evaluation of cardiac structure and function.
The rule has been criticized for causing immigrants to disenroll from public programs like Medicaid.