Author: Rylee Wilson

Medicare Advantage profits will likely be stable in 2023 but could face pressure from rising utilization rates in 2024, according to commentary from AM Best published June 30. 

New regulations for inpatient services in Medicare Advantage are looming, and new research has found MA enrollees with chronic conditions are likely to stay enrolled in the programand spend less time in the hospital than their fee-for-service counterparts. 

State employee health plans are often the largest commercial purchaser of healthcare in each state, according to a report from the Center on Health Insurance Reforms at Georgetown University in Washington, D.C. 

CMS published updated guidance for the Medicare Drug Price Negotiation program, based on feedback from more than 7,500 public comments. 

Medicare Advantage members are less likely to be prescribed high-risk medications than their counterparts in fee-for-service Medicare, a study published June 27 in JAMA Health Forum found. 

Molina Healthcare will purchase Bright Health Group's California Medicare Advantage business for $600 million, the two businesses said June 30. 

Satisfaction with commercial health plans is on the decline, especially among younger generations, according to J.D. Power's 2023 Commercial Member Health Plan study. 

Oscar Health published a glimpse into how the payer uses AI. 

Health plans for state employees are often the largest commercial healthcare purchasers in their state, but these bargaining powers are not translating to lower costs, according to a report from the Center on Health Insurance Reforms at Georgetown University in…

The Government Accountability Office is urging CMS to consider adding Medicaid managed care programs to the scope of its recovery audit program.