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CMS reported a record of nearly 47,000 comments on its Medicare Advantage payment rule for 2027. The insurer-backed Better Medicare…
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Minnesota filed a lawsuit against CMS and HHS, as well as their respective leaders, Mehmet Oz, MD, and Robert F. Kennedy Jr., regarding $243.8 million in deferred Medicaid funds, according to March 2 documents filed through the U.S. District Court…
Medicare Advantage plans looking to maintain no-premium models could face 50% cuts to supplemental benefits and $1,000 more in older adults’ cost exposure in 2027, according to February reports commissioned by health insurance trade association AHIP. Wakely Consulting Group conducted…
Pennsylvania issued Aetna a $550,000 fine following a market conduct exam that found violations in mental health parity laws, according to a March 3 news release. The Pennsylvania Insurance Department reviewed Aetna’s activity from Oct. 1, 2021, through Dec. 31,…
Managed Medicaid plans have gone from above-target profit margins during the pandemic-era enrollment boom to aggregate underwriting losses, with early 2025 data suggesting the losses aren’t slowing, according to a February analysis from Wakely. The consulting group analyzed MCO financial…
BCBS Vermont posted a net income of $63.3 million in 2025, along with an underwriting gain of $47.3 million, the insurer confirmed to Becker’s. The insurer reported a $53 million operating gain and a 2.7% operating margin for 2025, according…
Blue Cross Blue Shield of Michigan reported a net loss of $246 million on enterprise revenue of $43.3 billion in 2025, up from its $1.02 billion loss on $40.6 billion in revenue in 2024. For 2025, the company posted an…
Blue Shield of California nonprofit parent company Ascendiun launched a national healthcare reform movement focused on value-based care, cost and tech advancement — and is calling on the government to help — according to a news release. The campaign, called…
The Cigna Group’s COO and president, Brian Evanko, will take on the role of CEO upon David Cordani’s retirement July 1, according to a March 3 news release from the Cigna Group. Mr. Evanko currently oversees Cigna Healthcare and Evernorth…
Medicare Advantage enrollment grew less than 1% during this past annual enrollment period, but beneath that modest topline number was a dramatic reshuffling as national payers shed hundreds of thousands of members while smaller and regional plans posted some of…
On Feb. 25, Centene offered CMS seven Medicaid reforms that would allow managed care organizations to take the reins in targeting fraud, waste and abuse in Medicaid. The letter called on CMS to: 1. Permit proactive payment suspensions without a…
