CMS will make several tweaks to the ACO REACH model in 2024, designed to make payments from the model more predictable for participants and adjust equity benchmarks.
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Select Health and Kroger Health are launching co-branded Medicare Advantage plans across four states in 2024.
UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1.
A group of Pennsylvania lawmakers is introducing legislation to require payers' to disclose how they use AI in claims review and require human review of any AI-processed claims.
CMS warned 36 states they were not meeting federal requirements for Medicaid call center wait times, application processing timelines and rates of procedural terminations.
Presbyterian Health Plan received an estimated $2.2 million in Medicare Advantage payments in 2017 and 2018, according to an audit from HHS' Office of the Inspector General.
New Mexico will award Medicaid managed care contracts to Blue Cross Blue Shield of New Mexico, Presbyterian Health Plan, United Health Plan and Molina Health Plan.
From posting 24.6 percent net income growth in the second quarter, to projecting adding $1.8 billion in premium revenue from its acquisition of Bright Health's Medicare Advantage business, here are 10 updates on Molina Healthcare that Becker's has reported since…
A physician, health equity executive and Baltimore native is now overseeing healthcare coverage for more than 330,000 of the most vulnerable individuals in Maryland.
Bend, Ore.-based St. Charles Health System is considering dropping all Medicare Advantage plans and is encouraging its senior patients not to enroll in the private Medicare plans during the next open enrollment period.