Author: Rylee Wilson

Payers are planning to grow their value-based models, improve health equity, implement new technology and more in the coming years. 

UnitedHealth Group is investing in AI to speed up the customer service process. 

Medicare Advantage insurers are increasingly becoming providers too, according to the Medicare Payment and Advisory Commission's 2024 status report. 

Humana plans to lay off a small portion of its workforce, the Louisville Courier-Journal reported Jan. 16. 

Coding intensity and the types of enrollees who select Medicare Advantage plans will drive an additional $88 billion in payments to the program in 2024 compared with what traditional Medicare would receive, according to estimates from the Medicare Payment and…

Alignment Health has named Sebastian Burzacchi as chief operating officer of its management services organization and Andreas Wagner as chief people officer. 

Though some contract negotiations with providers came "down to the wire" last year, UnitedHealthcare executives said the payer did not see more contract splits than usual in 2023. 

RSV vaccinations brought more older adults to their primary care offices in the last months of 2023, one factor behind rising medical costs in Medicare Advantage, UnitedHealth Group executives said. 

SCAN Group tapped Matt Kazan as vice president of policy and government affairs. 

Outdated eligibility systems and staff shortages are making the Medicaid redetermination process more difficult, state officials told KFF.