Author: Rylee Wilson

An estimated 1 in 4 Medicaid beneficiaries have enrolled since February 2020, according to Kaiser Family Foundation. 

Friday Health Plans will lay off 98 workers in Alamosa and Denver, Colo., on April 30. 

Medicare Advantage differs from traditional Medicare in several aspects of care quality and cost, research published in the last year shows. 

Medicare Advantage plans are not required to identify when payments claims were denied, hindering fraud, waste and abuse investigations, according to a new report from HHS' Office of Inspector General. 

Excellus BlueCross BlueShield posted $58.9 million in profits in 2022, a 50 percent decline in net income from 2021. 

States can begin disenrolling members from Medicaid April 1, the first time states have redetermined who is eligible for the program since 2020. 

Medicare Advantage enrollment is on the rise, but the pace of growth slowed in 2022. As enrollment climbs, CMS is considering a slew of policy changes, which some groups say could cut benefits. 

Blue Cross Blue Shield of Michigan reported a $777 million loss for 2022, driven in part by the ongoing cost of the COVID-19 pandemic and pricing pressures in Medicare Advantage. 

Lawmakers are urging increased oversight of incentives offered to brokers selling Medigap plans, The New York Times reported March 1. 

CMS' decision to crack down on Medicare Advantage auditing could have done more to stop overpayments, professors and students of public health wrote in Health Affairs.