Soaring Unemployment: How Members and Insurers Are Reacting

Since March, over 30 million Americans have filed for unemployment, as businesses have been forced to lay off or furlough employees due to the COVID-19 crisis. Economists even expect April’s unemployment rate to be over 16% when it was 3.5% in February and 4.4% in March.

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$12B Supreme Court Win for ACA Insurers

In a 8-to-1 decision on Monday, the Supreme Court ruled in favor of insurers on the Affordable Care Act (ACA) marketplaces in Maine Community Health Options v. United States. The court held that the federal government was obligated to pay the more than $12 billion in unpaid risk corridor payments from 2014 to 2016. (more…)

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COVID-19 Reiterates Importance of SDOH

The pandemic’s fault lines have not been random. Coronavirus has hit society’s most vulnerable–the poor, elderly, minorities–the hardest.

As our fractures are laid bare, the healthcare community must use this as an opportunity to study how we should’ve been hyper aware of social determinants of health (SDOH) all along. Some have, fortunately, already learned that SDOHs are integral to our way out of the pandemic. (more…)

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COVID-19’s Potential Double-Digit Hike on 2021 Premiums

According to a new report by Covered California, California’s marketplace, 2021 premium increases to individuals and employers from COVID-19 alone could range from 4 percent to more than 40 percent, if carriers must recoup 2020 costs and protect solvency.

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Rising Unemployment During COVID-19 Precipitates States Opening Marketplaces

Last week, 3.3 million Americans filed for unemployment as industries buckled under COVID-19, according to the Department of Labor (DOL). This is the highest number of jobless claims since the DOL started tracking the data in 1967. 

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Keeping up With the Dizzying Pace of New COVID-19 Policies

The COVID-19 pandemic has brought an unprecedented strain on health care communities worldwide as we rush to flatten the curve. Federal and state governments in the United States have been putting out a flurry of new policies to help facilitate care and coverage of care. We have compiled these policies and will discuss how insurers, with the right technologies in place, can best respond to the policies to quickly solve this crisis.

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