Author: Rylee Wilson

Total risk adjustment payments in individual and small group insurance plans decreased slightly in 2023, according to new data from CMS. 

Medicare Advantage enrollees were less likely to receive burdensome treatments or transfers in the last months of life compared to their peers in traditional Medicare, a study published July 19 in JAMA Health Forum found. 

Medicare Advantage won't be out of federal watchdogs' sights anytime soon. 

Humana will open primary care clinics at 23 former Walmart Health sites. 

Bloomington, Minn.-based HealthPartners plans to split with UnitedHealthcare Medicare Advantage plans at the end of 2024. 

Humana CEO Jim Rechtin is putting his support behind federal legislation aimed at reforming the Medicare Advantage prior authorization process. 

Molina Healthcare plans to acquire ConnectiCare for $350 million, the company said July 23. 

North Carolina will cover GLP-1 drugs for weight loss through its Medicaid program. 

UnitedHealthcare and Greenville, S.C.-based Prisma Health have reached a contract agreement after the health system was out of network for seven months. 

The Cigna Group will allocate $9 million toward health equity initiatives over three years.