News
Part D Senior Savings Model Participation and Premiums Vary
New Avalere analysis finds higher premiums for the enhanced standalone drug plans participating in the model.
Hospital Discharges to Home Health Rebounding, But SNF Volumes Lag
New Avalere Health analysis of Medicare fee-for-service (FFS) claims data reveals large decreases in skilled nursing facility (SNF) and home health care use following the widespread decline in inpatient hospitalizations amid the response to the COVID-19 pandemic. Avalere’s analysis further suggests that as inpatient procedures resume in some areas, the volume of inpatient hospital discharges to home health is starting to rebound, whereas the volume of discharges to SNF remains below 2019 levels.
COVID-19 Projected to Worsen Racial Disparities in Health Coverage
Avalere analysis finds that at least 5 million Black and Hispanic people may lose their health insurance as a result of the pandemic.
Omar Hafez Joins Avalere Health, Expands West Coast Footprint
Hafez expands Avalere's market access capabilities with deep expertise in strategy, operations, commercialization, and analytics.
Andrew E. Van Ostrand Joins Avalere Health
He brings healthcare tech, data, advocacy, and strategy experience to the firm.
Melissa Morley Joins Avalere Health
She deepens the firm’s post-acute and policy analytics capabilities, bringing nearly 15 years' worth of policy analytics experience to Avalere with a specific focus on the provider sector.
Decline in Oncology and Immunology Treatment Amid COVID-19 Pandemic
Recent Avalere analysis finds decreases in utilization of oncology and autoimmune treatments across all care settings since the onset of the health crisis.
Avalere Health Deepens Expertise in Market Access and Policy Analytics
Two new hires come to the firm with significant experience in US healthcare.
Biden’s Medicare at 60 Proposal Could Cover 23M Under Medicare
Avalere analysis finds that former Vice President Joe Biden’s proposal to lower the Medicare eligibility age from 65 to 60 could increase access to Medicare coverage for an additional 23 million individuals.
Two-Thirds of Seniors Have High-Risk Conditions in Counties with the Most COVID-19 Cases
Avalere analysis finds that in the top 25 US counties with highest number of COVID-19 diagnoses, two-thirds of Medicare beneficiaries have 1 or more high-risk medical conditions.
Recent History Shows Variability in Vaccine Development Timeline
Opportunities exist to accelerate potential vaccine development.
Avalere Health Partners with Leading Registry and Analytics Company, Corrona LLC, to Combine Economic and Clinical Outcomes Data for Autoimmune Diseases
The collaboration leverages the Inovalon MORE2 Registry® payer-sourced dataset and Corrona’s platform of clinical registries to enable data-driven insights on the treatment of autoimmune diseases from both clinical and health economic perspectives.
Nearly 80% of Uninsured Population in Super Tuesday States Are Eligible for Assistance
New Avalere analysis finds that 76% of uninsured individuals lawfully present in the 14 Super Tuesday states are currently eligible for Medicaid, the Children’s Health Insurance Program (CHIP), or exchange plan subsidies.
States Choosing Healthy Adult Opportunity Program Will Need to Generate Savings to Stay Below Capped Funding Levels
New analysis from Avalere finds that states currently covering non-mandatory adult populations who choose to participate in the Healthy Adult Opportunity (HAO) initiative may need to generate up to 8% in Medicaid savings to keep spending below new capped funding levels.
First Quality Measures Aim to Reduce Diabetes Complications
Avalere Health and the Endocrine Society launch hypoglycemia clinical tools.
2020 Exchange Plan Networks Are the Most Restrictive Since 2014
Restrictive network plans comprise over 75% of the exchange market.
2020 Election: Democratic Healthcare Proposals May Impact 43 to 329 Million Americans
New analysis from Avalere finds that Democratic proposals to expand public programs, such as a public option or single payer, will impact substantially different populations depending on how they are designed.
Free Exchange Plan Options Are Available to Many Low-Income Consumers for 2020
New analysis from Avalere finds that over 96% of counties with exchanges operated by HealthCare.gov have free plan options for low-income consumers.
State-Run Reinsurance Programs Reduce ACA Premiums by 16.9% on Average
Continuing analysis from Avalere finds that state reinsurance programs reduce individual market premiums by 16.9% on average in their first year, relative to estimated premiums without reinsurance.
Healthcare 2020: Facts and Figures in Advance of the Next Democratic Debate
With the 2020 presidential election nearly 1 year away, healthcare reform remains one of the top issues for voters heading into the election year.