The National Committee for Quality Assurance identified the standout MA plans for each state, evaluating based on nearly 50 factors that include patient experience and clinical performance. The ratings were released Sept. 16 and are based on 2024 data from…
Author: Elizabeth Casolo
Elevance Health filed a complaint Sept. 12 against a former senior underwriting executive who took another job at a competitor despite having signed a noncompete agreement. According to the lawsuit, which was reviewed by Becker’s, Maria Gregory started a position…
Three Medicare Advantage plans scored a full five stars in this year’s health plan rankings from the National Committee for Quality Assurance. An additional 17 plans, including six more Kaiser Foundation Health Plans from around the country, scored 4.5 stars…
The National Committee for Quality Assurance has named the highest-quality and most-effective health plans of 2025 based on nearly 50 factors that include patient experience and clinical performance. The ratings were released Sept. 16 and draw on 2024 data from…
Aetna’s new “level of severity inpatient payment” policy will take effect in less than two months, and the American Hospital Association said it is “deeply concerned.” Aetna’s policy, set to go into effect Nov. 15, will approve inpatient stays without…
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Robert Andrews — a former congressman and the CEO of the Health Transformation Alliance, a cooperative of self-insured companies — predicts AI will be able to personalize formularies for patients within five years. “Formularies are really built upon economic, commercial…
Employers are gravitating toward “transparent” pharmacy benefit managers this year, according to a survey from the National Alliance of Healthcare Purchaser Coalitions. The 2025 “Pulse of the Purchaser” survey collated responses from purchasers and employers across the country. With nearly…
Seven U.S.-based health payers made Time and Statista’s 2025 list of the world’s top 1,000 companies. Time and market research firm Statista compiled the ranking by evaluating employee satisfaction, revenue growth and sustainability transparency. Cigna ranked 10th overall — jumping…
Reps. Jan Schakowsky, D-Ill., and Mark Pocan, D-Wis., introduced a resolution opposing a Trump administration initiative that they said would “force recipients of traditional Medicare to receive prior authorization, including through the use of artificial intelligence, before being able to…
Eight percent of Americans were not covered by any kind of health insurance in 2024, remaining at a historic low, according to a September report from the U.S. Census Bureau. Here are six more things to know: