New York City must pay for the cost of any plan it offers to its retired employees, the state's appeals court ruled, complicating its path to implementing a Medicare Advantage plan.
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It's been an unprecendented year for health plan CEOs, with new leadership at Humana, Aetna, Cigna Healthcare, Optum and multiple BCBS plans.
CMS will sunset the Medicare Advantage Value-Based Insurance Design Model at the end of 2026, citing "unprecedented" costs to the Medicare trust fund.
Payers partnered with Google, Instacart and other tech companies in 2024.
Sanford Health Plan and Lincoln, Neb.-based Bryan Health will launch a joint Medicare Advantage plan in 2026.
CMS has moved the deadline to enroll in federally facilitated marketplace coverage from Dec. 15 to Dec. 18 for benefits that begin in the new year.
From CMS finalizing a rule aimed at streamlining the process to UnitedHealthcare launching a gold-card program, here are four key prior authorization updates Becker's reported in 2024:
Medicare Advantage plans must comply with new network adequacy and health equity standards in 2025.
2024 was a tumultuous year for Medicare Advantage.
HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage.