Healthcare DIVE June 18, 2020
Dive Brief:
- Medicaid insurer adoption of commercial practices, such as paying broker commissions, engaging in more marketing and slowly increasing provider payments, positions them as an increasingly competitive force in the Affordable Care Act marketplaces, a new report from the Urban Institute and Robert Wood Johnson Foundation finds.
- By employing tighter networks, leveraging lower provider rates and keeping their administrative costs down, Medicaid insurers have taken their experiences from the Medicaid program and applied them successfully to the individual market, the report found.
- At the same time, commercial insurers have adopted cost-containment strategies employed by Medicaid insurers, such as narrowing networks for more favorable provider payment rates.
Dive Insight:
Record unemployment numbers and the resulting loss of employer-sponsored...
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