New York City can implement an Aetna Medicare Advantage plan for its retirees, the state’s highest court ruled June 18. The city has pushed to switch its health benefits for retired city employees to a Medicare Advantage plan since 2021.…
Author: Rylee Wilson
Uncertainty around potential pharmaceutical tariffs is one factor driving up the cost of marketplace coverage in 2025, according to KFF. Multiple insurers, including UnitedHealthcare plans in New York, Maryland and Oregon, and Independent Health have cited tariffs on pharmaceuticals as…
The gap in out-of-pocket spending between Medicare Advantage and fee-for-service beneficiaries is widening, according to a report from the Better Medicare Alliance. The pro-Medicare Advantage group, backed by major insurers, commissioned the analysis, which was conducted by ATI Advisory. The…
Preparing for regulatory changes, investing in AI and technology and improving member experiences are among the top priorities for payer executives in the second half of 2025. Becker’s checked in with 15 payer leaders to learn what tops their to-do…
A former Medicare Advantage executive has been found not guilty of healthcare fraud. A jury found Kenia Valle Boza, the former director of Medicare risk adjustment analytics for HealthSun Health Plans, not guilty of one count of conspiracy to commit…
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A group of Democratic lawmakers has introduced legislation to create a public insurance option for individuals and employers. The Choose Medicare Act was introduced by Reps. Jimmy Gonzalez, Jared Huffman, LaMonica McIver and Eleanor Holmes Norton, and Sens. Jeff Merkley…
UnitedHealthcare is ending broker commission payments for some of its Medicare Advantage plans. In a statement shared with Becker’s June 17, a spokesperson said the company will not pay commissions for new enrollments for a “small percentage” of its Medicare…
Humana’s five-year plan entails a transformation from a health services company to a consumer healthcare company, CEO Jim Rechtin told investors. The company held its annual investor day June 16. Mr. Rechtin said the company will expand its reach within…
Medicare Advantage enrollees receive fewer home health visits than their counterparts in fee-for-service Medicare, according to the Medicare Payment and Advisory Commission. The commission, which advises Congress on Medicare and Medicaid issues, published a report to Congress June 12. Here…
Medicare Advantage isn’t living up to its promise, Former U.S. Rep. Jim Greenwood wrote in an op-ed published in The Hill June 15. Mr. Greenwood was one of the authors of the Medicare Modernization Act of 2003, which created the…