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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Aug 24 2020

Full Issue

Four Insurance Carriers Hit Big Profits Compared To A Year Ago

Part of the reason is patients putting off care during the pandemic. Industry news looks at mergers, lawsuits, ethics, and surprise medical bills, as well.

Health insurance companies are racking up big profits during the pandemic, sometimes two to three times higher than a year ago. That鈥檚 largely because so many customers are putting off their usual care. Elective surgeries, office visits and even trips to the emergency room have dropped sharply, which means fewer claims on insurance plans.Four insurers 鈥 UnitedHealthcare, Anthem, CVS Health and Humana 鈥 together reported almost $10 billion in profit growth for the second quarter. Collectively, their operating income rose 152%. (Schnurman, 8/21)

Health insurance company Oscar on Wednesday announced its partnership with Holy Cross Health hospital in Fort Lauderdale, Fla., and Memorial Healthcare System in Hollywood, Fla., to launch a co-branded Medicare Advantage plan in South Florida.Pending approval, Oscar will be able to start marketing the plan Oct. 1 and selling it Oct. 15, said Ananth Lalithakumar, vice president and general manager of Medicare Advantage at Oscar. He declined to disclose the projected reach of the new plan but noted that some of its competitors in the Medicare space have about 60,000 to 70,000 members. (Sim, 8/21)

A federal appeals court on Thursday trimmed down Epic Systems Corp.'s win in a trade secrets lawsuit against Indian information-technology services and consulting firm Tata Consultancy Services. While Epic initially scored $940 million in compensatory and punitive damages in 2016, the 7th U.S. Circuit Court of Appeals ruled Tata shouldn't have to pay $280 million in punitive damages, calling it "constitutionally excessive." (Cohen, 8/21)

It鈥檚 time for the executives who run some of Boston鈥檚 elite hospitals to be weaned off the cushy money they make moonlighting as board directors for corporate America. You can understand the appeal of sitting on an outside board. Public companies paid directors a median of $208,000 in cash and stock in 2018, according to the most recent compensation survey by the National Association of Corporate Directors and consultants Pearl Meyer & Partners. Some companies dole out more than $400,000 a year. That鈥檚 for 25 days or so of work a year. (Edelman, 8/21)

Kaiser Health News: 鈥楢n Arm And A Leg鈥: How To Fight Bogus Medical Bills Like A Bulldog聽

After Izzy Benasso had knee surgery, she and her dad received a letter from a surgical assistant giving notice that he 鈥渉ad been present鈥 at the procedure. The surgical assistant was out-of-network and seemed to be laying the groundwork to get the Benassos to pay his fee. Steve Benasso wrote a letter right back, basically telling the guy to buzz off: He had no intention of paying the surgical assistant. Because the bill was a surprise, Benasso suggested that the surgical assistant try to get the money from the insurance company, or negotiate for some part of the knee surgeon鈥檚 payment. (Weissmann, 8/24)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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