Author: Rylee Wilson

Humana misrepresented the providers its Medicare Advantage plans will be in-network with in 2025, Minnesota Attorney General Keith Ellison alleged. 

Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums. 

CVS Health will lay off 42 additional employees at Aetna's headquarters in Hartford, Conn, after laying off hundreds of employees earlier this year. 

Payer executives shifted their focus to population health and implemented new strategies in 2024. 

Changes could be coming for Medicaid in the next presidential administration. 

Most Medicare Advantage markets are highly concentrated, but in a handful of markets, one payer controls more than 70% of the MA landscape, according to the American Medical Association's annual Competition in Health Insurance report. 

The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report. 

Prospective CMS Administrator Mehmet Oz, MD, has been a major proponent of Medicare Advantage, and has pitched expanding the program to extend coverage to all Americans. 

UnitedHealthcare alleges CMS treated its Medicare Advantage star ratings differently compared to Elevance Health, according to court documents unsealed Nov. 18. 

Medicare Advantage plans faced several headwinds in 2024, including rising medical costs, declining star ratings and a tougher reimbursement environment.