Author: Rylee Wilson

Humana is challenging a rule from CMS that could leave insurers on the hook for billions in repayments, and new HHS research reveals most growth in the program is fueled by people switching from traditional Medicare. 

Paul Markovich has spent more than two decades at Blue Shield of California, the past 10 as its president and CEO. 

Life Time, a gym chain with over 150 locations nationwide, will limit the hours members who receive their memberships through Medicare benefits can use the fitness clubs. 

A judge denied Prisma Health's request for a temporary restraining order preventing UnitedHealthcare from disclosing details about contract negotiations to the press. 

Medicare Advantage enrollment is growing faster in rural and micropolitan areas than in metropolitan areas, according to an analysis from KFF published Sept. 7. 

Employers that self-fund their employees' insurance pay moderately more for several medical services than fully funded plans, a study published in the September issue of Health Affairs found. 

Humana filed a challenge to CMS' Medicare Advantage clawback rule and said it plans to expand into in-home primary care. 

ACA exchange enrollment reached a record high in early 2023, and the individual market reached an almost record size, according to an analysis from KFF published Sept. 7. 

Most growth in Medicare Advantage enrollment since 2006 was driven by people switching from fee-for-service Medicare to the program, a study by HHS researchers published in the September issue of Health Affairs found. 

The number of large employers choosing self-pay over fully-insured benefits has declined since 2010, according to a brief from the Employee Benefits Research Institute published Aug. 24.