Author: Rylee Wilson

Burnout in the healthcare workforce isn't going away, but some payers are finding ways to help. 

Humana is appointing new executives and expanding CenterWell, its primary care business. 

CMS is lacking data on how Medicare Advantage supplemental benefits are used, according to a report from the U.S. Government Accountability Office. 

Blue Cross Blue Shield of North Carolina is sponsoring an insurance pre-licensing academy as part of the payer's efforts to create a more diverse workforce in the insurance industry. 

Elevance Health has the highest number of prior authorization requests per Medicare Advantage member, while CVS and Kaiser Permanente have the highest rate of denials in 2021, according to an analysis from Kaiser Family Foundation. 

Medicare Advantage plans fully or partially denied around 6 percent of prior authorization claims in 2021, according to an analysis from Kaiser Family Foundation published Feb. 2. 

CMS is expecting a small revenue bump of 1.03 percent on average for Medicare Advantage and Part D plans in 2024 as part of a slate of potential risk adjustment and star ratings changes that has some industry leaders concerned. 

Bright Health is implementing another round of layoffs, the Minneapolis/St. Paul Business Journal reported Feb. 1. 

AmeriHealth Caritas has named Marla Purvis as Georgia market president. 

CMS' new Medicare Advantage auditing standards did not include enough information about auditing methods to understand its full impacts, Humana executives said on a Feb. 1 investor call.