Two Aetna employees were arrested for allegedly orchestrating a $1.1 million fraud scheme, according to a Nov. 15 news release from Florida CFO Jimmy Patronis.
Author: Rylee Wilson
Private health insurance markets grew more concentrated over the past decade, according to a report published by the Government Accountability Office Nov. 14.
Fewer Medicare Advantage insurers will offer remote access technologies and over-the-counter benefits in 2025 than in 2024, according to an analysis from KFF.
Editor's note: This story was updated Nov. 15 to reflect Huntsville Hospital Health System reached a new contract agreement with UnitedHealthcare. Huntsville (Ala.) Hospital Health System reached a new contract agreement with UnitedHealthcare, a day before several hospitals were set…
In recent years, healthcare executives and providers have faced growing expectations to address health inequities that affect diverse populations across the country. But what does health equity truly mean in practice?
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Payer executives expressed confidence in the continuation of enhanced ACA subsidies in some form past 2025.
The percentage of healthcare risk dollars in two-sided risk arrangements grew across all types of health plans in 2023, according to the Healthcare Payment Learning and Action Network's annual report.
CMS will give less weight to call center metrics in future Medicare Advantage star ratings, according to a top CMS official.
Elevance Health is focusing its attention on markets with the most disruption during Medicare Advantage open enrollment, CFO Mark Kaye told investors.
KFF Health News is suing HHS to release audits of Medicare Advantage plans and other records, the health news outlet reported Nov. 12.