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 are based on…
Author: Jakob Emerson
The California Department of Managed Health Care has issued a cease-and-desist order against Meritage Health Plan, effectively shutting down the Medicare Advantage insurer by the end of October. The Aug. 27 order requires six health plans (Alignment Health, Humana, SCAN…
A group of Republican lawmakers is pressing the Trump administration to step up enforcement of the No Surprises Act, citing ongoing problems with implementation and the IDR process. “We request the departments finalize clear and consistent QPA calculation methodology, accelerate…
UnitedHealth Group has boosted lobbying efforts and executives have met with several Trump administration officials this year amid ongoing federal investigations and reimbursement changes that have negatively impacted profits, The Wall Street Journal reported Sept. 14. Since May, UnitedHealth leadership,…
CareFirst BlueCross BlueShield was named the top-performing insurer for customer experience in 2025 by Forrester, a recognition that comes as many insurers face declining scores across the industry. CareFirst’s Chief Marketing Officer, Mack McGee, joined the Becker’s Payer Issues Podcast…
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Eight health insurers were featured on Fortune magazine and Great Place to Work Institute’s annual “Best Workplaces in Health Care” list. Fifty large healthcare employers were recognized in total. The rankings were created from employee surveys, which asked participants to…
New Hampshire’s insurance commissioner is warning that some seniors in the state will have little to no access to Medicare Advantage in 2026 as insurers exit the market, the New Hampshire Union Leader reported Sept. 10. “From what I am…
A federal judge in Minnesota has denied UnitedHealth Group’s request to narrow the scope of discovery in an ongoing lawsuit that accuses the insurer of using artificial intelligence to wrongfully deny Medicare Advantage members post-acute care. The case, filed in…
The U.S. Bankruptcy Court for the Middle District of Florida has approved a bid from Humana’s CenterWell to acquire the assets of The Villages Health, the health system serving The Villages retirement community in Florida. TVH filed for Chapter 11…
UnitedHealth’s Rocky Mountain HMO and Elevance Health’s Anthem HMO Colorado have withdrawn their plans to end coverage for multiple health plans in the state’s individual market following legislative action in the Colorado General Assembly. Both companies will continue services in…