It was difficult to predict trend lines for the payer and health insurance industry in 2021, largely because of persistent uncertainties due to the COVID-19 pandemic. Consumer behavior has become more ...

We are now just past the midpoint in the Medicare open enrollment period. One online health insurance consolidator, eHealth, has compiled some interesting trends in how this year’s Medicare enrollment ...

Implementing the Medicare $2 drug list model would have reduced out-of-pocket spending by 63% for Part D beneficiaries in 2021. The model caps cost-sharing at $2 for a 30-day supply of 101 generic ...

An increasing number of people with employer-sponsored insurance are covered by an insurer that offers Medicare Advantage in the state. Objectives: Commercial health insurers can participate in the ...

While the growth of ACOs plateaued just before and during the pandemic, the movement toward value-based payment continues. The public and private sectors must now move from experimentation to a more ...