A judge has dismissed Humana’s lawsuit challenging its Medicare Advantage star ratings. In a July 18 order, U.S. District Judge Reed O’Connor dismissed the case without prejudice, meaning it could be reintroduced. In his filing, Mr. O’Connor wrote that Humana…
Author: Rylee Wilson
Insurers are requesting the highest ACA premium increases since 2018, according to an analysis by the Peterson-KFF Health System Tracker published July 18. Insurers are requesting a median increase of 15% based on preliminary rate filings. KFF analyzed rate increase…
CMS will not approve any new waivers for states to allow continuous enrollment for Medicaid or CHIP beneficiaries longer than 12 months. CMS has “concerns about the appropriateness of providing continuous eligibility,” said Drew Snyder, deputy CMS administrator and director…
Elevance Health is the latest insurer to cut its 2025 earnings guidance, citing elevated costs in the individual market and Medicaid. The company reported its second-quarter earnings July 17. Elevance Health earned $2.4 billion in operating income in the second…
Centene added more than 1.2 million individual members between the fourth quarter of 2024 to the first quarter of 2025, according to a report by Mark Farrah Associates. The health plan data aggregator published an analysis of individual market enrollment…
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More than half of employers plan to shift more healthcare costs to employees in 2026, according to a survey by Mercer. The consulting firm surveyed 504 large employers on their employee benefit strategies in April 2025. Here are 10 things…
Columbia, Mo.-based MU Health Care is back in network with some Anthem Blue Cross Blue Shield plans after a more than three-month split. In a July 15 statement, the system and insurer said they had reached an agreement in principle…
EmblemHealth is enlisting AI agents to help keep members cool this summer. Extreme heat is a silent killer, said Dan Knecht, MD, EmblemHealth’s chief medical officer. In New York City, where EmblemHealth is based, more than 500 people die from…
Humana is launching a collaboration with Epic’s MyChart, allowing members to see health plan details alongside the rest of their medical information. The partnership is the first of its kind, Humana said in a July 15 news release. “This integration…
On average, Medicare Advantage beneficiaries have access to plans offered by eight different insurers, but in most counties, one or two companies control the majority of the market, according to an analysis from KFF. The vast majority of MA beneficiaries…