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Thursday, Aug 20 2020

Full Issue

Premium Refunds: Blue Cross Michigan Saw Many Fewer Claims

Under the Affordable Care Act, health insurers must issue rebates for individual plans if they collect too much premium. Other industry news is on HIV services, slow prescription mail deliveries, praise for teleheath expansion and more.

Blue Cross Blue Shield of Michigan says it will issue 30%聽premium refunds in November to people with individual health insurance plans as a result of fewer聽claims during the coronavirus pandemic,聽although聽the insurance giant still plans to raise聽premiums in 2021 when demand for health care is expected to return. The $21 million in refunds will go聽to more than 180,000 policy holders of Blue Cross individual and dental plans. The refunds, which are pending approval from聽state regulators,聽will be delivered in the form of premium credits for 30% off customers'聽November invoices. (Reindl, 8/290

LGBTQ people face additional barriers to receiving quality health care, stemming in part from a fear of discrimination by health care providers. That鈥檚 why Prism Health North Texas says: Come as you are. With clinics in Oak Cliff, South Dallas and Oak Lawn, the nonprofit offers transgender primary care and HIV primary care, among other services for health concerns that are often stigmatized. (Tatum, 8/19)

Tracey Gehring, a 51-year-old mother from Greenbush, Mich., typically gets prescription medications delivered to her home about two to three days after she orders them. Recently, her anxiety medication took more than a week to arrive. "I've never had issues getting my prescriptions like this," she said. In danger of running out, she was forced to ask her doctor for an emergency supply and persuaded a local pharmacy to fill it. Gehring's pharmacy benefits are administered by CVS Health, which she said requires her to fill any long-term medications though its mail order service or at a CVS pharmacy location. The nearest CVS store is an hour and a half from her home. (Livingston, 8/19)

Rep. Doris Matsui (D-Calif.) on Wednesday said the COVID-19 pandemic has opened the door to widespread adoption of remote health care. 鈥淭elehealth has become the silver lining of the pandemic,鈥 Matsui said at The Hill鈥檚 鈥淐OVID-19: The Way Forward鈥 event. (Mihaly, 8/19)

In financial news 鈥

The state鈥檚 cancer research agency is putting nearly $10 million more into a Southlake startup that鈥檚 developing real-time imaging of tumors during surgery. OncoNano Medicine Inc., a spinout from the University of Texas Southwestern Medical Center, is getting $9,965,273 from the Cancer Prevention and Research Institute of Texas to support development of its imaging agent, which is in Phase 2 clinical trials. (O'Donnell, 8/19)

Adventist Health has invested in behavioral health startup Synchronous Health as part of a partnership to co-develop behavioral health and well-being programs, the Roseville, Calif.-based not-for-profit health system announced Tuesday. The organizations did not disclose financial details of the investment. (Cohen, 8/19)

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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