Managed Medicaid and Medicare Advantage insurers economically lagged behind other payers and the wider market in 2023, according to a Jan. 5 analysis from S&P Global Market Intelligence.
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Hospital and payer groups were broadly supportive of proposed changes to Medicare Advantage prior authorization and broker compensation regulations.
Recent research on Medicare Advantage has tracked competition in local markets and investigated the rates of biosimilar drug uptake in both MA and traditional Medicare.
Aetna President Brian Kane said CVS Health is still in the "early innings" of integrating the payer into the company, the Hartford Business Journal reported Jan. 8.
From accusing two former executives of stealing trade secrets to selling its health insurance and hospital operations in Brazil, here are 12 updates on UnitedHealth Group Becker's has reported since Dec. 12:
The California Department of Managed Health fined Anthem Blue Cross of California $690,000 for failure to reimburse providers and members in a timely manner during the second half of 2021.
Elevance Health and its insurance subsidiaries are suing HHS for "unlawful, and arbitrary and capricious" methodology changes to how Medicare Advantage and Part D star ratings are calculated.
A Colorado judge ordered defunct health insurance company Friday Health Plan to pay $450,000 to its co-founder David Pinkert, who sued the company for failing to pay his severance after he was fired in 2022, Law360 reported Jan. 3.
CMS is terminating Centene's WellCare Medicare Advantage prescription drug plans in Arizona and North Carolina at the end of 2024 following three consecutive years of star ratings below three stars.
UnitedHealth group has the largest Medicare Advantage market share in 25 states, according to the American Medical Association.
