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.…
Author: Jakob Emerson
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…
Blue Cross and Blue Shield of Massachusetts reported a net loss of $129.7 million on revenue of $2.6 billion (-4.9% net margin) in the second quarter. Year-to-date, the company has reported a net loss of $92.6 million on revenue of…
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Georgia regulators are fining health insurers more than $20 million for failing to comply with state and federal mental health parity laws. Insurance Commissioner John King said Aug. 15 that the penalties follow examinations that uncovered more than 6,000 violations…
Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to Kaiser members. The Providence complaint reviewed by Becker’s was filed April 11 in…
Miami-Dade County Commissioners voted Aug. 13 to replace AvMed with Aetna to administer health benefits for more than 31,000 employees, the Miami Herald reported. AvMed held the contract since 2007 and has filed a legal challenge over the bidding process. …
CMS has lifted an enrollment suspension on Wellcare of Missouri’s Medicare Advantage prescription drug plan, effective Jan. 1, 2026. The sanction was originally imposed Sept. 6, 2024, after Wellcare failed to meet the federal minimum medical loss ratio of 85%…
Medicare Advantage enrollment in rural America has quadrupled since 2010, reaching 40% of eligible beneficiaries in 2023, but still far below the 53% penetration in metropolitan areas. Rural beneficiaries now have an average of 27 MA plans to choose from,…