Centene expects to lose millions of members in the redeterminations process and is focused on shifting members no longer eligible for Medicaid coverage to its marketplace offerings, executives said on a Feb. 7 investor call transcribed by Motley Fool.
Author: Rylee Wilson
Star ratings are the metrics CMS uses to rate the quality of Medicare Advantage and Part D plans. These numbers help beneficiaries compare plan quality and are how CMS determines quality payments.
Some payers are instituting layoffs, while others are hiring more staff.
Blue Shield of California is expanding its partnership with digital diabetes reversal program Virta Health.
CVS Health made a $10.6 billion move to acqurie Oak Street Health, named new esecutives and scored big contracts in recent weeks.
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A data breach has affected 300,000 Highmark Inc. health plan members.
A startup launched as a COVID-19 testing company is pivoting to a "Netflix" model of health insurance.
Payers are bolstering virtual mental healthcare services and adding chronic condition management.
Around 20 percent of Medicare enrollees are also enrolled in Medicaid benefits, according to a report from Kaiser Family Foundation published Jan. 31.
Proposed Medicare Advantage plan rates introduced by CMS could have some impacts on revenue, but it's too early to see the full scope, Cigna CEO David Cordani told investors on a Feb. 3 call transcribed by Seeking Alpha.