“Analysts were worried about U.S. payers’ financial performances coming into 2021, as service utilization is expected to resurge this year following months of care delays during the pandemic,” Healthcare Dive reported. “An acute rally in deferred care could depress earnings, following a year of historic profits in the sector. But almost all major payers hiked their full-year guidance following a strong first quarter, with Humana being the only private insurer to not increase its 2021 outlook, signaling widespread optimism despite ongoing uncertainty due to the COVID-19 pandemic. Payer executives said patient demand for care was generally back to normal levels or almost nearly there in the first quarter. But despite mounting utilization, all insurers reported notable profit growth in the first quarter. UnitedHealth, parent company of the biggest private payer in the country, reported the largest profit in the quarter with $4.9 billion, up almost 44% year over year. That was followed by CVS Health, owner of Aetna, which reported profit of $2.2 billion, up about 10%. However, Centene boasted the biggest year-over-year profit jump. The St. Louis-based insurer brought in net income of $699 million, more than 15 times its earnings compared with the same time last year. Centene and other insurers that lean heavily on government products for revenue benefited from acute growth in Medicare and Medicaid membership and in the Affordable Care Act exchanges, as the Covid-19 recession caused some millions to lose job-based insurance last year. That went hand in hand with a decline in commercial membership, as the pandemic continues to reshape the U.S. insurance coverage landscape.” Healthcare Dive, “Almost all major US payers hiked forecasts following Q1, hinting at 2021 optimism despite COVID-19.”
Jeanne Pinder is the founder and CEO of ClearHealthCosts. She worked at The New York Times for almost 25 years as a reporter, editor and human resources executive, then volunteered for a buyout and founded ClearHealthCosts.
She was previously a fellow at the Tow Center for Digital Journalism at the Columbia University School of Journalism. ClearHealthCosts has won grants from the Tow-Knight Center for Entrepreneurial Journalism at the Craig Newmark Graduate School of Journalism at the City University of New York; the International Women’s Media Foundation; the John S. and James L. Knight Foundation with KQED public radio in San Francisco and KPCC in Los Angeles; the Lenfest Foundation in Philadelphia for a partnership with The Philadelphia Inquirer; and the New York State Health Foundation for a partnership with WNYC public radio/Gothamist in New York; and other honors.
Her TED talk about fixing health costs has surpassed 2 million views.