Health Plan Weekly
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TeamHealth Wins One Battle in Ongoing War With UnitedHealth
A jury recently found UnitedHealthcare underpayed Nevada emergency care subsidiaries of TeamHealth Inc. in out-of-network billing scenarios — and it’s the first of several ongoing suits between the two health care firms to wrap up. Experts say that the No Surprises Act, which comes into effect next month, will fix some of the issues raised in the lawsuit, but also point out that settling out-of-network billing disputes remains a matter of leverage.
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Optum Dominates UnitedHealth’s Investor Day, Growth Strategy
UnitedHealth Group’s Investor Day presentation, Wall Street analysts came away with the distinct impression that the company’s Optum division — which now comprises 52% of its overall earnings — was the “star of the show.”
UnitedHealth’s annual investor day “featured a heavy dose of the integration and collaboration” between Optum and UnitedHealthcare, the company’s health insurance division, to drive its long-term target of 13% to 16% earnings per share (EPS) growth, Citi analyst Ralph Giacobbe wrote in a Nov. 30 note to investors.
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Before Expanded Subsidies, ACA Exchange Plans Became Less and Less Affordable for the Middle Class
Half of families with incomes between 401% and 600% of the federal poverty level (FPL) would have paid at least 7.7% of their income for the lowest-cost bronze family plan in the Affordable Care Act exchange market in 2015, while they would have paid at least 11.3% of their income in 2019, according to a Health Affairs study. The studied population included families of four with annual incomes of $106,000 to $159,000 in 2021, two-person families with incomes of $69,680 to $104,520, and single adults with incomes of $51,520 to $77,280.
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Biden: Health Insurers Should Pay for Home COVID Tests
In remarks to staffers at the National Institutes of Health (NIH) on the federal response to the omicron variant of COVID-19, President Joe Biden said his administration intends to make home testing more accessible — and require insurance companies to cover the cost of those tests from retailers.
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News Briefs: 3M People Sign Up for HealthCare.gov Plans | Dec. 3, 2021
So far during the 2022 open enrollment period for Affordable Care Act marketplace plans, approximately 3 million people have selected plans on HealthCare.gov. That running total includes 560,000 who selected plans during week four of open enrollment, according to CMS’s weekly enrollment snapshot.
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