Author: Rylee Wilson

Centene has named Adam Proctor as CEO of Nebraska Total Care. 

Patients in value-based care relationships were more likely to receive preventive screenings than those in fee-for-service only, according to Humana's 10th annual value based care report. 

Differences in the clinicians Medicare Advantage and traditional Medicare beneficiaries see have some effect on differences in avoidable hospitalization rates between the two programs, a study published Nov. 10 in JAMA Health Forum found. 

CMS is proposing several new regulations for the ACA marketplace in 2025, including tighter regulation of state-based marketplaces. 

The Health Subcommittee of the Energy and Commerce Committee passed 21 health bills on to the full committee, including bills aimed at increasing Medicare Advantage transparency. 

A bipartisan group of senators is introducing legislation that would require Medicare Advantage plans to report more encounter data. 

From October to December, airwaves are flooded with advertisements for Medicare Advantage plans, urging beneficiaries to call and review their options. 

Connecticut's employee health plan is using a lifestyle management program to control the costs of weight loss drugs, Politico reported Nov. 15. 

Centene has named Susan Smith as chief operating officer. 

Humana's value-based care efforts in Medicare Advantage saved around $8 billion in 2022 compared to traditional Medicare, according to the company's annual value-based care report published Nov. 15.