Higher medical costs that have hurt UnitedHealth Group’s Medicare Advantage business are beginning to crop up in other lines of business, CFO John Rex told investors in a May 13 conference call. That day the company also pulled its earnings…
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SCAN Group has purchased full ownership of myPlace Health, an integrated care delivery organization serving older adults in their homes through the PACE model. myPlace launched in 2021 as a collaboration between SCAN and Commonwealth Care Alliance in Los Angeles.…
The Center for Medicare and Medicaid Innovation is laying out a new strategy, including plans to require all alternative payment models to involve downside risk. In a May 13 news release, Abe Sutton, director of the CMMI, wrote that the…
The nation’s uninsured rate is expected to rise exponentially if ACA premium tax credits expire and GOP lawmakers implement new Medicaid policies as part of a broader budget reconciliation package. In 2024, the U.S. uninsured rate across all ages was…
More than 24 million individuals enrolled in individual coverage through federal and state marketplaces during the 2025 open enrollment period. According to CMS data published May 12, 24.3 million people enrolled in ACA coverage in for 2025, a 13% increase…
Stephen Hemsley is returning as CEO at UnitedHealth Group, a role he held for more than a decade. UnitedHealth Group said former CEO Andrew Witty was stepping down for personal reasons. Mr. Witty will remain a strategic advisor to Mr.…
Aetna Medicaid has partnered with the National Alliance for Care at Home and MissionCare Collective to improve home healthcare access and support the direct care workforce in Illinois, Louisiana and North Carolina. The pilot program is funded by Aetna and…
CMS has proposed including select Medicare Part B drugs in the third round of its drug price negotiation program, according to draft guidance released May 12. The agency said the proposal is designed to enhance transparency, focus on high-expenditure drugs…
From several states advancing legislation to CMS considering reforms, here are seven prior authorization updates Becker’s has reported since April 24: 1. HHS will not enforce mental health parity regulations opposed by some large employers and insurers as it reconsiders…
UnitedHealth Group CEO Andrew Witty has stepped down for personal reasons and chairman and former CEO Stephen Hemsley will replace him. Mr. Hemsley served as CEO from 2006 to 2017 and will remain chairman of the company’s board of directors.…