CMS will increase payments to Medicare Advantage plans by more than $25 billion in 2026. The agency published the final rate announcement for MA plans April 7. According to CMS, MA plans can expect a payment increase of 5.06% in…
Author: Rylee Wilson
Groups representing insurers praised CMS’s final rule for Medicare Advantage in 2026. In a statement published April 4, Better Medicare Alliance President Mary Beth Donahue called the rule the “right decision to protect seniors and the Medicare Advantage program.” “As…
The Justice Department is urging a federal court to allow a decade-old lawsuit against UnitedHealth Group to continue. In documents filed April 2 in the U.S. District Court for the Central District of California, Justice Department attorneys argued that a…
As the healthcare industry works to address rising costs and the challenge of consistent access to care for all, a recent study highlights the growing recognition from primary care doctors that value-based care models are essential for delivering high-quality, cost-effective care.…
Complacency is one thing holding back the growth of the individual coverage health reimbursement arrangement, or ICHRA, market, according to Janet Liang, president of insurance at Oscar Health. Oscar Health has laid out plans to double its membership by 2027.…
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Startup Medicare Advantage plans accounted for 1.9% of total MA enrollment in 2025, according to a report from Chartis. This rate represents an increase from 1.6% in 2024 and 0.8% in 2020. Gold Kidney Health Plan, a company offering plans…
Nonprofit Medicare Advantage plans added 200,000 members for 2025, according to an analysis from Chartis. The healthcare consulting group published a March 25 report analyzing Medicare Advantage enrollment data from CMS. Non-Blue Cross Blue Shield nonprofit plans accounted for around…
Aetna has snagged a contract to manage healthcare benefits for more than 150,000 Pennsylvania state employees and their dependents. The Pennsylvania Employees Benefit Trust Fund selected Aetna to provide coverage to its employees and their dependents, and for around 11,000…
Medicare Advantage insurers are spending an increasing amount on fees and commissions paid to brokers, a report from the office of Senate Finance Committee Ranking Member Ron Wyden found. Mr. Wyden said he planned to open an investigation into five…
Centene has fired Mark Sanders, CEO of its Texas subsidiary, after he told state lawmakers he hired private investigators to dig up information about members, lawmakers and journalists, The Dallas Morning News reported March 27. “Following the hearing, Centene immediately…