Author: Rylee Wilson

Insurers' outlook is stable for 2023, but high Medicare Advantage utilization rates could present challenges, Moody's said in a Nov. 20 report. 

New research found the number of self-pay patients increased as enrollees lost Medicaid coverage, and Georgia lawmakers are mulling a full expansion of the state's Medicaid program. 

The Medicaid improper payment rate significantly decreased from 2022 to 2023, CMS reported Nov. 15. 

Some Medicare Advantage plans are not planning to comply with new CMS guidance requiring plans to follow traditional Medicare's standards for coverage decisions, the American Hospital Association alleges. 

CMS paid Medicare Advantage organizations an estimated $16.6 billion in overpayments in fiscal year 2023, the agency reported Nov. 15. 

Four in 10 employers offer low or no-deductible plans, and 15% of employers will offer their employees coverage with no premium, according to Mercer's "Health and Benefit Strategies for 2024" report. 

Half of states are "failing" amid the Medicaid redeterminations process, according to the NAACP. 

Three payer CEOs are among As You Sow's list of the most "overpaid" CEOs at S&P 500 companies. 

CMS issued its first-ever playbook to address social determinants of health Nov. 16. 

UnitedHealthcare is facing a lawsuit of alleged wrongful Medicare Advantage care denials, and lawmakers are eyeing new regulations on the program.