Tag: private

As US population ages, private insurers reap more money from government-run Medicare

Private insurers are reaping a veritable windfall from the federal government’s heavy spending on the elderly — with demand from the COVID-19 pandemic leading to more robust offerings.

Loading...

Load Error

Following a trend that has been growing in the past few years, both Cigna (CI) and United Health Group (UNH) announced expansions of their Medicare Advantage plans for 2021 — with Cigna expanding in 67 counties and UnitedHealth expanding in 300 counties.

In addition, Walmart (WMT) has joined in with its own insurance education services, in order to help seniors sign up for Medicare plans.

The two health insurance giants are expanding in an increasingly competitive market, dominated by players like Humana (HUM) and Centene (CNC). They are also seeing a swell of startups including Clover Health, Oscar and Bright Health.

According to Brian Evanko, Cigna’s president of Government Business, insurers are faced with a convergence of factors that include a willing government payor, an increasingly aging population, and the flexibility to compete with robust offerings.

Many plans have $0 premiums —a key selling point — and thanks to the popularity of telehealth during the pandemic, both insurers are offering $0 copays on telehealth visits. Cigna is now offering behavioral health virtual visits, as well, while UnitedHealth promoted its $35 cap on insulin.

For Cigna, traditionally a big player in commercial and employer-sponsored plans, the expansion marks the largest in the space to-date. The overall number of counties, 369 in 2021, represents 30% of the Medicare market in America, and a 22% growth from the previous year, Evanko said. By 2024, the company is targeting 50% of the market.

And companies like Cigna will continue to shift their resources and efforts into the Medicare Advantage market, as ongoing bipartisan support fuels growth. It’s a captive pipeline, Evanko explained.

“There are 14 million commercial members who will age into Medicare in the coming years,” he said, adding that Medicare supplement enrollees and Part D enrollees will also eventually migrate to Medicare Advantage.

‘Significant growth opportunity’



a person sitting at a table: SARASOTA, FLORIDA - JANUARY 04: Charles Miller, 90, prepares the daily pills his wife will need for the week on January 4, 2020 in Sarasota, Florida. His wife has had a recent stroke and a heart attack, and needs approximately ten different medicines daily which need to be carefully monitored. (Photo by Andrew Lichtenstein/Corbis via Getty Images)


© Provided by Yahoo! Finance
SARASOTA, FLORIDA – JANUARY 04: Charles Miller, 90, prepares the daily pills his wife will need for the week on January 4, 2020 in Sarasota, Florida. His wife has had a recent stroke and a heart attack, and needs approximately ten different medicines daily which need to be carefully monitored. (Photo by Andrew Lichtenstein/Corbis via Getty Images)

As the book of business has grown in recent years, it has called into question how long insurers can expect to continue profiting from government funding.

According to data from the Kaiser Family Foundation, last year “gross margins for Medicare Advantage plans averaged $1,608 per covered person per year between 2016 and 2018 – about double the average annual gross margins for plans in the individual and group markets ($779 and $855 per member per year, respectively.”

The concept of Medicare Advantage involves being paid a monthly sum to care for a set population of patients. It is similar to the setup seen in

Continue reading

Private schools treated like ‘society’s villains’ because of ‘stereotyping and prejudice’, says top headteacher

Private schools are the victims of “stereotyping and prejudice” and people should stop treating them as “society’s villains”, a top headteacher will argue on Monday.

Sally-Anne Huang, the first female high master of St Paul’s School in London, will also say that private schools can help “heal” UK society from the “multiple wounds” it has sustained from Covid-19.

Ms Huang has just taken over as chair of the Headmasters’ and Headmistresses’ Conference, a group of 296 elite private schools.

In a speech to kick off the HMC annual conference she will claim that private schools have been unfairly vilified.

‘Society’s villains’

“As head of an HMC school I expect to be cast as one of society’s villains,” she will say.

“I still get out of bed every day to improve things for young people and, increasingly in recent years, not just the young people in my own school. So I’m not sure why I should be judged more harshly than those in other professions… to quote Rizzo from Grease – ‘there are worse things I could do’”.

She will say anti-private school sentiment is a “well-worn type of stereotyping and prejudice” which heads “are used to”, but that criticism has got worse because of increased polarisation in society.

‘Someone to blame’

“What I do think is new and troubling is the increasing tendency across society as a whole to look for difference and division rather than common ground,” she will say. “To look for someone to blame, rather than a solution to a shared problem.

“At HMC, we are often the people who are blamed, and, although I would be the first to acknowledge the difference between our budgets and those on offer to our colleagues in state schools, the reality is, we are willing and able to help with the problem.

“Members will all know that, when we spend time with state school heads, we have more that unites than divides us. I don’t believe state school heads have spent the last six months wishing that independent schools didn’t exist but, I do know that they have wished for better-timed announcements, clarity and consistency over exam results and consideration for the mental health of their colleagues and pupils. As have we.”

‘Healing’ UK

She will say that after Covid, “healing” needs to take place in the UK to restore the country “in terms of inclusion, education and economics”.

“The UK needs its most successful institutions, institutions like ours, more than ever before, to help it heal.”

Private schools have long been accused of entrenching privilege, and in 2019 delegates at the Labour conference even passed a motion calling for the effective abolition of the sector.

In the wake of the pandemic, critics have taken issue with the greater resources that independent schools are able to devote to their pupils compared to the state sector, including in some cases access to private Covid testing.

No ‘snowflakes’

In her speech, Ms Huang will also

Continue reading

Politics And Private Beliefs

Political science has a relationship within the study of law. Its goal is to manage The Majority strictly, in addition to all others among the folks, primarily to protect The Particular person’s God-given, unalienable rights and subsequently for the safety of the rights of The Minority, of all minorities, and the liberties of people typically.

These requirements together with the federal law stopping any retired member of Congress from ever amassing greater than 80% of their final wage makes clear that no member of Congress can retire after just one term and then begin collecting their normal full wage for all times.

Nonetheless, nearly all forecasters predict that, in the long-term, the federal government will have to make basic modifications to its spending and tax dollars whether it is to remain solvent, as future spending and tax revenues are going to be impacted vastly by the effects of an growing old inhabitants on health care and social safety.

Hobbes’ social contract was one based on a firmly established relationship between the state and society, a relationship that placed the state as the upper energy within the contract between society and government. Australia tightened its gun legal guidelines in 1996. The voters must take the management of the country from the political events, and return it to its rightful house owners, the People.

When the framers came collectively toward the event of the constitution, they wished to establish a government where the liberties of its individuals wouldn’t be weak. Blogs, article comments and social media are the new public gathering areas. Historical past reveals Hitler was not the person who used gun control to take over the German folks.…

Continue reading