The Latest

Medicare Advantage insurers are eliminating commission payments for some of their plans, a move that has drawn criticism from broker associations.  Insurers typically pay brokers commission payments for enrolling new members, or renewing existing members in Medicare Advantage and Medicare…

Florida Blue and Fort Lauderdale-based Broward Health went out of network on July 1. The network split impacts all Broward hospitals and physicians for Florida Blue’s commercial, ACA and Medicare Advantage members. Florida Blue notified around 18,000 people about the…

BlueCross BlueShield of Tennessee is “winding down operations” at its subsidiary Shared Health, a move that will affect 150 employees.  Shared Health provides plans to individuals dually eligible for Medicare and Medicaid in Texas and Mississippi. BCBS Tennessee will wind…

Chorus Community Health Plans, the insurance arm of Milwaukee-based Children’s Wisconsin, will not offer individual and family ACA plans past 2025.  In a June 26 letter to providers, the insurer’s president, Mark Rakowski, cited significant increases in medical and pharmaceutical…

Humana has launched its Medicaid business in Virginia. Virginia Cardinal Care beneficiaries can now select Humana as a Medicaid managed care plan, according to a July 2 news release. The state selected Humana as one of five insurers in 2024…

A Minnesota judge has ruled against UnitedHealthcare in a lawsuit challenging a Minnesota law barring for-profit insurers from the state’s Medicaid program.  In a decision issued June 30, Minnesota District Court Judge Mark Ireland ruled the statute, passed as part…

The health insurance industry is facing a major downturn, driven by escalating issues in the Medicaid and ACA markets, as well as growing scrutiny of prior authorizations and pharmacy benefit managers, according to J. Mario Molina, MD, former CEO of…

Nevada Gov. Joe Lombardo and the Nevada Department of Health and Human Services have announced the launch of the Nevada Health Authority, effective July 1.  The NVHA consolidates the state’s Medicaid program, ACA exchange, and public employees’ benefits program under…