Latest from Kaiser Health News
March 21: Unpacking the Controversy Over Medicare AdvantageOur most recent Health Wonk Shop web featured moderator Larry Levitt and panelists discussing the Biden Administration proposal for changes to payments to Medicare Advantage insurers for the coming year, including how the health risk of enrollees is captured, as well as a plan for recouping payments not supported by audits.
March 16: How are State Medicaid Programs Approaching the Unwinding of the Federal Continuous Enrollment Provision?
Preventive Services Use Among People with Private Insurance Coverage
This analysis of claims data estimates that six in ten people with private health insurance – or about 100 million people – used at least one preventive service covered without any out-of-pocket costs through a provision of the Affordable Care Act (ACA) in a typical year prior to the COVID-19 pandemic (2018). …More
Health Insurer Financial Performance in 2021
Using health insurer financial data for 2021, we find that Medicare Advantage insurers reported gross margins that were at least twice as high as those reported by insurers in the individual/non-group, fully-insured group/employer, and Medicaid managed care markets. The four markets report similar simple medical-loss-ratios.
The Estimated Value of Tax Exemption for Nonprofit Hospitals Was Nearly $28 Billion in 2020
This data note estimates that the value of tax exemption for nonprofit hospitals was $28 billion in 2020. This amount exceeds estimated charity care costs among nonprofit hospitals in 2020 ($16 billion), though charity care represents only a portion of the community benefits reported by nonprofit hospitals.
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