A new kind of Medicare Advantage advertisement is hitting the airwaves, one diverging from the usual scenes of seniors gleefully enjoying an outdoor activity or making a medical appointment against a backdrop of upbeat music. Instead, a more blunt framing…
Author: Jakob Emerson
BlueCross BlueShield of Tennessee is laying off an additional 95 employees and eliminating 28 vacant positions in non customer-facing roles. “Like health insurers across the country, BlueCross has seen a sharp rise in claims costs – a trend that started…
Alignment Healthcare has named Matt Eyles as executive vice president of government and business strategy, effective Sept. 29. In the newly created position, Mr. Eyles will focus on the Medicare Advantage company’s engagement and leadership in healthcare policy at federal…
For more than two years, Becker’s has reported on the intensifying trend of Medicare Advantage reimbursement fights between hospitals and insurers that has contributed to a dizzying and ever-changing environment for older adults to navigate each enrollment period. Now, that…
A group of House Republicans are backing the newly filed Bipartisan Premium Tax Credit Extension Act, which would extend enhanced ACA subsidies for one year beyond their current expiration date at the end of 2025. Under the legislation, the premium…
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CMS’ progress toward expanding its team of medical coders to audit more Medicare Advantage plans is unclear, Bloomberg reported Sept. 5. In May, the agency said it would audit every MA plan for potential overpayments annually, in what was described…
UCare has asked CMS to mutually terminate its Medicare Advantage plans for 2026, citing rising medical costs and challenges within the broader market. “This decision was not made lightly,” President and CEO Hilary Marden-Resnik said Sept. 4 “UCare remains deeply…
Samaritan Health Plans, the insurance arm of Corvallis, Ore.-based Samaritan Health Services, will exit the Medicare Advantage market in 2026, the Lincoln Chronicle reported Sept. 3. Bruce Butler, CEO of Samaritan Health Plans, told Becker’s in a statement that the…
CMS is expanding eligibility for catastrophic health coverage on the ACA marketplace in 2026. The agency issued new hardship exemption guidance on Sept. 4 aimed at individuals projected to be ineligible for advance premium tax credits or cost-sharing reductions due…
SCAN Health Plan is expanding into Washington state and will enter new counties in California and Texas. Pending CMS approval, the nonprofit insurer will offer plans in Pierce, Spokane, and Thurston counties in Washington; Sacramento, Placer, Yolo, San Joaquin, Kings,…