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…
Author: Elizabeth Casolo
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,…
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 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…
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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…
The insurer-backed Better Medicare Alliance, a Medicare Advantage advocacy group, and over 100 other organizations sent a letter Feb. 27 to CMS Administrator Mehmet Oz, MD, urging the agency to modify proposed 2027 rate levels for Medicare Advantage. The signatories…
CMS is sanctioning Elevance Health and plans to suspend enrollment into the insurer’s Medicare Advantage prescription drug plans, according to a Feb. 27 agency letter. The enrollment and communications pause is set to begin March 31 unless Elevance submits all…
UnitedHealth Group is limiting employee raises to between 0% and 2% this year and laying off an unspecified number of workers, Bloomberg reported Feb. 27. Minnesota, the company’s home state, has not posted any relevant Worker Adjustment and Retraining Notification…
Organizations working toward payer-provider alignment do not necessarily have to lead with the financial angle, Sioux Falls, S.D.-based Sanford Health’s COO, Matt Hocks, said. Mr. Hocks recently assumed responsibility for Sanford and Security Health Plans. In a recent interview with…