Clover Health has named Shelly Gupta, MD, chief medical officer of Medicare Advantage. Dr. Gupta was most recently CMO for Humana’s Health Horizons Medicaid plan in Louisiana, where he led the launch of the plan, according to an April 7…
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CareSource has closed on its acquisition of Commonwealth Care Alliance. Boston-based CCA was facing significant financial challenges, with its reserves falling more than $216 million below solvency thresholds, prompting Massachusetts officials to freeze enrollment for some of its health plans…
Multiple states have introduced legislation in 2025 aimed at offering tax relief to small businesses that provide individual coverage health reimbursement arrangements, or ICHRAs, to their employees. The proposals would incentivize small employers to adopt ICHRAs by offering tax credits…
Two insurers landed a spot on Fortune’s list of the top 100 employers. The annual list, published April 2, is based on more than 1.3 million survey responses designed to assess employee trust. The top-ranked organizations are those where employees…
Aware Integrated, the parent company of Blue Cross Blue Shield of Minnesota, reported an operating income of $27.6 million in 2024, with an operating margin under 1%.” The company published its 2024 financial results April 3. The company brought in…
CMS is rebranding its Health Equity Index reward program to the Excellent Health Outcomes for All (EHO4all) reward, which is set to take effect for 2027 Medicare Advantage star ratings. The new name “better captures the goal of ensuring exceptional…
Industry Challenge According to the recent Gartner report on “How Clinical Data Improves US Healthcare Payer Interoperability,” health plan leaders are counting on the integration of clinical data “locked in provider’s electronic health records” to enable a host of needed…
Cigna Healthcare offers the best digital experience to commercial members, while UPMC Health Plan provides the best experience to Medicare Advantage enrollees, according to J.D. Power’s 2025 U.S. Healthcare Digital Experience Study. Overall, the digital experience offered by health insurers…
UnitedHealthcare is suing Broadcom, alleging that the tech giant is looking to impose “exorbitant price increases” on software used by the insurer. The heavily redacted lawsuit, filed in the U.S. District Court for Minnesota on April 2, claims that Broadcom…
CMS will increase payments to Medicare Advantage plans by more than $25 billion in 2026. The agency published the final rate announcement for MA plans April 7. According to CMS, MA plans can expect a payment increase of 5.06% in…