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Total risk adjustment payments in individual and small group insurance plans increased modestly in 2024, according to new data from…
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Total risk adjustment payments in individual and small group insurance plans increased modestly in 2024, according to new data from CMS. The agency published its annual summary report of risk adjustment payments June 18. The risk adjustment program is designed…
UCare will withdraw from 11 counties in Minnesota where it offers Medicaid plans beginning in September through the end of 2025, the company said in a statement shared with Becker’s. The company made the “difficult decision” to withdraw from several…
Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Dr.…
President Donald Trump has signed the “One Big Beautiful Bill Act,” which includes major spending and policy changes for the Medicaid program and ACA markets. Jarrod McNaughton, CEO of Inland Empire Health Plan, wrote on LinkedIn on July 3 that…
On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits. Six notes: 1. Starting January 1, individuals enrolled in bronze and catastrophic ACA plans will be eligible to contribute to…
CenterWell, Humana’s older adult-focused primary care business, has inked an agreement to acquire The Villages (Fla.) Health. The Villages Health has filed for bankruptcy, according to a July 3 news release. Humana has entered a stalking horse agreement to purchase…
Medicare Advantage insurers are eliminating commission payments for some of their plans, a move that has drawn criticism from broker associations. Insurers typically pay brokers commission payments for enrolling new members, or renewing existing members in Medicare Advantage and Medicare…
Florida Blue and Fort Lauderdale-based Broward Health went out of network on July 1. The network split impacts all Broward hospitals and physicians for Florida Blue’s commercial, ACA and Medicare Advantage members. Florida Blue notified around 18,000 people about the…
BlueCross BlueShield of Tennessee is “winding down operations” at its subsidiary Shared Health, a move that will affect 150 employees. Shared Health provides plans to individuals dually eligible for Medicare and Medicaid in Texas and Mississippi. BCBS Tennessee will wind…
Chorus Community Health Plans, the insurance arm of Milwaukee-based Children’s Wisconsin, will not offer individual and family ACA plans past 2025. In a June 26 letter to providers, the insurer’s president, Mark Rakowski, cited significant increases in medical and pharmaceutical…