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During an Oct. 27 earnings call, Centene CEO Sarah London said the company’s Medicare Advantage business is on track to…
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Forty-eight percent of Americans have used an AI tool to review health insurance offerings, according to research from broker eHealth published Oct. 28. The survey was conducted Oct. 7-9 and canvassed more than 1,000 Americans. The research comes just ahead…
Blue Cross Blue Shield of Massachusetts is working with precision medicine company Medzown to connect eligible members who have cancer and other complex conditions with clinical trials. Medzown’s technology identifies members who could be candidates for trials studying their specific…
For most health plans, social risk lives inside care management, disconnected from strategy and the balance sheet. The result is avoidable utilization no one has quantified and spending no one has traced to a cause. As medical costs climb and…
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WellSense Health Plan, under Boston Medical Center Health System, is restructuring teams, according to a statement shared with Becker’s Oct. 27. “WellSense is evolving our business and operations, and recently reshaped our teams, in response to significant industry and policy…
At least five health insurers have now sued CMS over their 2027 Medicare Advantage star ratings, claiming the agency used quality measures that were never formally adopted through the rulemaking process. Combined, the plans say the ratings will cost them…
Health plans are rethinking the member experience from the member’s perspective. Becker’s asked leaders from health plans and partner organizations how they’re improving it, and most started in the same place: listening to members, finding where coverage and care get…
Health plans are measured on member experience, security, quality and efficiency. Yet one capability quietly underpins all four: Knowing, with confidence, exactly who each member is. As member data spreads across digital and assisted channels, that confidence erodes. Duplicate records,…
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New Bern, N.C.-based CarolinaEast Medical Center will rejoin Blue Cross and Blue Shield of North Carolina’s Medicare Advantage network Jan. 1. CarolinaEast exited the network July 1, but CarolinaEast Physicians remained in network. “We appreciate the collaboration that made this…
About 4.3 million Medicare beneficiaries will see their Medicare Advantage or standalone prescription drug plans terminated on Dec. 31, according to an Oct. 27 KFF analysis. Of those facing plan losses, 2.8 million, 300,000 and 1.2 million beneficiaries will see…
House Democrats introduced a bill Oct. 22 that would lower Medicare’s eligibility age to 50 from 65. The bill comes from Reps. Pramila Jayapal of Washington, Chris Deluzio of Pennsylvania, Debbie Dingell of Michigan and Pat Ryan of New York.…
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