Author: Rylee Wilson

Centene executives do not expect a second Trump administration to be able to push through major changes to Medicaid. 

Payer executives are focusing their attention on affordability, value-based care and regulatory changes for the coming year. 

Payers expanded their reach into the provider space through acquisitions in 2024. 

A group of senators is questioning prospective CMS administrator Mehmet Oz, MD, over his stance on Medicare Advantage and his financial ties to MA insurers, NBC News reported Dec. 10. 

Payer CEOs are reckoning with the public vitriol directed at the industry in the wake of the killing of UnitedHealthcare CEO Brian Thompson. 

A federal judge has halted new regulations allowing individuals who are part of the Deferred Action for Childhood Arrivals program to enroll in ACA marketplace plans. 

CMS revised the star ratings for some Medicare Advantage plans and introduced major proposed reforms to the program in recent weeks. 

The share of local Medicare Advantage plans has shrunk since 2012, while national insurers have increased their market share, a study published in the December issue of Health Affairs found. 

Medicare spends more on beneficiaries who switch from Medicare Advantage to traditional Medicare compared to those who remained enrolled in traditional Medicare, a report from KFF found. 

Insurers are facing a wave of public scrutiny and vitriol in the wake of the killing of UnitedHealthcare CEO Brian Thompson.