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How New Entrants Fare in the Insurance Exchanges
An analysis of the competitive landscape of the public health insurance exchanges as it has so far unfolded has revealed that despite challenges to date, the exchanges have been attracting new entrants.
An analysis by McKinsey & Company of the competitive landscape of the public health insurance exchanges as it has so far unfolded has revealed that despite challenges to date, the exchanges have been attracting new entrants.
In the 2014 open enrollment period, one-fourth of the carriers offering plans were new entrants—meaning they had no individual insurance experience in states they were entering or no insurance experience at all. Just 4 new entrants did not re-file for 2015. Then in 2015, 28% of carriers were new to their state’s individual insurance market. Preliminary evidence suggests the 2016 open enrollment period will be similar to 2015.
Factors like lowered barriers to entry and the presence of the individual mandate and premium and cost-sharing subsidies likely increasing the number of covered lives have made the exchanges an attractive opportunity for new entrants, according to McKinsey.
However, the analysis points out that it is still too early to tell if the competitiveness of the new entrants will be sustainable.
“Overall, it is clear that the trend toward increased competition on exchanges is continuing,” according to the analysis. “Yet, it is too early to tell how new entrants will fare in the long run, as the market continues to be quite dynamic for all participants.”
Read the full piece: http://bit.ly/1KqSbqI
Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Dr Dalia Rotstein: Physicians Must Be Aware MS Affects People of All Backgrounds
April 24th 2024Dalia Rotstein, MD, MPH, emphazises the importance of awareness that multiple sclerosis (MS) impacts patients from various backgrounds as clinicians think through ways to improve access to care and research efforts in MS.
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Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
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Award-Winning Poster Presentations From AMCP 2024
April 23rd 2024At the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting, multiple poster presentations concerned with health equity, data collection, glucagon-like peptide-1 agonists, and more were acknowledged for their originality, relevance, clarity, bias, and quality.
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