Sentara Health Plans will not offer Medicare Advantage, MA prescription drug HMO, or C-SNP plans in Virginia, North Carolina and Florida in 2026. “These products are no longer financially sustainable in the current environment. Industry-wide headwinds and market dynamics, including…
Author: Jakob Emerson
A shareholder of UnitedHealth Group has put forward a proposal calling for the appointment of an independent chairperson for the company’s board that is separate from the CEO position, Bloomberg reported Oct. 3. Earlier this year, UnitedHealth named its board…
Ochsner Health Plan will no longer offer Medicare Advantage plans in 2026. The insurer, part of Jefferson, La.-based Oschner Health, has around 6,000 total MA members, per CMS enrollment data. The majority of members are enrolled in an HMO plan,…
Louisville, Ky.-based Norton Healthcare and Norton Children’s will stay in network with Cigna Healthcare, according to an Oct. 3 statement on the health system’s website. The partnership was originally scheduled to terminate on Sept. 8, but Norton and Cigna discussed…
New Mexico lawmakers are advancing legislation that would use state funds to offset the impending expiration of ACA enhanced premium tax credits. The bill, passed Oct. 1 in the state’s House of Representatives, would take effect immediately if signed by…
Advertisement
Blue Cross Blue Shield is exiting the Medicare Advantage market for 2026, citing an unsustainable market to offer affordable products. The company will continue to offer Medicare supplement plans, according to an Oct. 1 news release. Many insurers have exited…
CMS has suspended Gold Kidney of Florida from enrolling new members into one of its Medicare Advantage plans after state regulators found significant compliance and financial oversight failures. On Sept. 12, the Florida Office of Insurance Regulation issued a consent…
A federal court ordered Humana to pay more than $32 million in attorneys’ fees, costs and interest following the resolution of a False Claims Act case in 2024 over the company’s Medicare Part D bids. In a Sept. 19 order,…
Almost half of Medicare Advantage enrollment growth since 2024 has been driven by special needs plans, according to an analysis from KFF. 4 notes on special needs enrollment in 2025: 1. In 2025, 21% of MA enrollees are in SNPs.…
Three health insurers have been named among the top 50 companies that are effectively adopting and scaling the use of artificial intelligence by Fortune. The AIQ 50 ranking measures Fortune 500 companies through a score that combines self-assessments, peer evaluations…