Molina Healthcare reduced its offer for Bright Health's California Medicare Advantage business.
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While the world of healthcare remains ever changing, Seattle, Wash.-based First Choice Health, a provider and hospital-owned healthcare company, is looking to expand its network footprint in 2024.
California's managed healthcare department fined Blue Shield of California $200,000 for mishandling provider claims.
The Federation of American Hospitals is asking CMS to include how often Medicare Advantage carriers uphold or overturn initially denied prior authorization requests into how the agency calculates star ratings for the program.
Health Care Service Corp. and Elevance Health are vying for Cigna's Medicare Advantage business, Bloomberg reported Dec. 15.
Providence Health Plan has named a chief administrative officer, chief growth officer and chief healthcare experience and equity officer.
Kraft Heinz has voluntarily dismissed a lawsuit against Aetna alleging the payer breached its fiduciary duties and used its role as third-party claims administrator for Kraft's employee health plan "to enrich itself" to the food manufacturer's detriment.
CMS will implement new risk adjustment payment rates, prior authorization requirements and network standards for Medicare Advantage plans in 2024.
Blue Cross and Blue Shield of Louisiana and Elevance Health have submitted a new proposal to the Louisiana Department of Insurance to allow the nonprofit insurer to be bought by Elevance, nola.com reported Dec. 15.
Almost three-quarters of the nation's local Medicare Advantage markets are highly concentrated, according to the American Medical Association.