A handful of insurers are boasting Medicare Advantage membership gains following the annual enrollment period. Annual enrollment ran from Oct. 15 to Dec. 7, setting the stage for 2026 numbers. However, despite membership growth among some carriers, the Medicare Advantage…
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Forbes recognized 12 health insurers on its 2026 list of “America’s Best Midsize Employers,” published Feb. 10. In partnership with market research firm Statista, the publication surveyed more than 217,000 U.S. employees at organizations with more than 1,000 staffers. For…
Forbes recognized 11 health insurers on its 2026 list of “America’s Best Large Employers,” published Feb. 10. In partnership with market research firm Statista, the publication surveyed more than 217,000 U.S. employees at organizations with more than 1,000 staffers. For…
Kaiser Permanente has been named the top health insurance company in the U.S. for a sixth consecutive year, according to Insure.com’s annual ranking. In the final 1 through 5 score, 60% came from a customer survey, 25% from NCQA health…
Today’s Medicare Advantage payers are navigating rising enrollment, changing HCC models and heightened audit scrutiny from CMS. At the same time, quality standards continue to tighten, putting Star Ratings and revenue at risk when documentation and coding fall short. This…
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Ten states have still not expanded Medicaid under the ACA. If those states were to move toward expansion, 2.3 million people would secure health insurance coverage. While Medicaid expansion has long been a possibility, there is still some room for…
In a Feb. 9 exchange with The Topeka Capital-Journal, Democratic Gov. Laura Kelly of Kansas appeared to acknowledge her lame-duck status regarding her attempts to achieve Medicaid expansion for the state, a longtime key item of her administration’s platform. “There’s…
The Washington State Court of Appeals ruled that Zion HealthShare, a medical cost-sharing nonprofit, is operating as an insurer, according to a Feb. 5 filing. Zion HealthShare calls itself “an affordable, community-driven alternative to traditional health insurance.” Because Zion was…
A University of Minnesota Medical School course formed in partnership with UnitedHealth Group will undergo revisions, the Minneapolis-based school confirmed to Becker’s Feb. 11. First taught in 2024, “Leadership and Value: A UnitedHealth Group-UMN Collaboration” is a fourth-year elective that…
Dallas-based Tenet Healthcare expects a 20% reduction in ACA exchange enrollment this year with the expiration of enhanced premium tax credits set to pressure hospital earnings and payer mix. The company is projecting adjusted EBITDA of up to $4.8 billion…