Private Insurance
Medicare Advantage Insurers Report Much Higher Gross Margins Per Enrollee Than Insurers in Other Markets
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.
Annual Family Premiums for Employer Coverage Average $22,463 in 2022; Half of Employers See Growing Demand for Mental Health Services
Five Things to Know about the Renewal of Extra Affordable Care Act Subsidies in the Inflation Reduction Act
As part of the Inflation Reduction Act, the Senate recently passed a three-year extension (through 2025) of enhanced subsidies for people buying their own health coverage on the Affordable Care Act Marketplaces. The enhanced subsidies increase the amount of financial help available to those already eligible and also newly expand subsidies to middle-income people, many of whom were previously priced out of coverage. Here’s what to know about the likely renewal of these subsidies:
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How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction
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Health Care Coalition Jockeys Over Medi-Cal Spending, Eyes Ballot Initiative
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California Governor and Democratic Lawmakers at Odds Over Billions in Health Care Funds
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Denials of Health Insurance Claims Are Rising — And Getting Weirder
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He Returned to the US for His Daughter’s Wedding. He Left With a $42,000 Hospital Bill.