The 2025 State of Patient Access Report reveals a sharp rise in financial friction: more than 1 in 3 patients now regularly struggle to pay for care, and more than 40% say they’d delay treatment without an accurate cost estimate.…
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Philadelphia-based Independence Blue Cross has launched a new GenAI customer service tool to support customer service representatives in improving accuracy and speed of customer interactions, according to a news release shared with Becker’s. The pilot, initiated in February 2025, tasked…
A federal judge has certified a class-action lawsuit against Blue Cross and Blue Shield of Montana that alleges the payer denied thousands of “large dollar” claims, the Daily Montanan reported June 16. The lawsuit alleges that the company routinely denies…
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…
CVS Health has named Jeffrey Fernandez as senior vice president of Medicare at Aetna. Mr. Fernandez previously served as SVP of population health and CEO at Ochsner Health Plan. Prior to that, he held a variety of leadership roles at…
Medicare Advantage executives, regardless of age, should have to enroll in their own health plans to better understand their members’ experience, according to SCAN Group CEO Sachin Jain, MD. “No carve-outs. No executive-only exemptions. No platinum side-door coverage,” he wrote…
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…
Three states that offer health coverage to undocumented immigrants are sunsetting or limiting those benefits. House Republicans’ proposed budget reconciliation package also includes provisions to penalize states financially if they provide Medicaid benefits to noncitizen residents by reducing their ACA…
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…
UnitedHealthcare and Providence, R.I.-based Brown University Health have mutually agreed to go out of network on July 1 for Medicare Advantage plans. Brown’s hospitals in Rhode Island will be out of network for UnitedHealth’s MA plans, including D-SNP and group…