A federal judge in Texas has struck down portions of a rule governing Medicare Advantage broker and marketing payments, siding with agent groups that challenged the regulation put into place last year. On Aug. 18, U.S. District Judge Reed O’Connor…
Author: Jakob Emerson
A federal judge has approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
The Superior Court of Fulton County, Georgia placed Sonder Health Plans into receivership with the state’s insurance department on Aug. 13 due to the insurer’s reported “insolvency and inability to raise additional funds from outside investors.” Sonder was placed into…
Highmark New York is the lowest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on…
The Trump administration is rolling out a Medicaid enrollment oversight initiative that will direct states to remove individuals who cannot verify their citizenship or immigration status. CMS said Aug. 19 it has started providing states with reports identifying Medicaid and…
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Northern Light Health says it has “made the difficult but necessary decision” to end its relationship with Anthem Blue Cross and Blue Shield, citing payment delays, administrative burdens, and what it calls misleading public narratives from the insurer. The Brewer,…
UPMC has the highest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on Aug. 19.…
In today’s data-driven healthcare landscape, delivering higher quality outcomes increasingly depends on how seamlessly and securely health information flows — not just from providers to payers, but across every touchpoint in the care journey. When data is shared bidirectionally and…
Anthem Blue Cross’ commercial and ACA health plans in California have been awarded Health Equity Accreditation from the National Committee for Quality Assurance through July 28, 2028. Anthem’s Medi-Cal plan previously earned the NCQA’s Health Equity and Health Equity Plus…
Peak Health is planning its largest expansion to date in the Medicare Advantage market, more than doubling its potential footprint in its home state and moving into Pennsylvania for the first time. “We’re looking to expand substantially. We will be…