UnitedHealthcare ended 2023 with the largest total membership of large payers across Medicare, Medicaid, military, commercial and individual business.
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Algorithms and artificial intelligence-powered software tools can be used to support Medicare Advantage plans in making coverage decisions for members, but payers are still bound by CMS' internal benefits requirements and nondiscrimination rules under the ACA, the agency said in…
Medicare Advantage is now the dominant form of Medicare in the U.S., with a projected 54% share by the end of 2024, or more than 33 million enrollees.
UnitedHealthcare is still the largest Medicare Advantage insurer in the U.S.
CVS Health is looking for an executive director of payer contracting to provide strategy and oversight of the company's primary care contracts.
Wellmark Blue Cross and Blue Shield has partnered with the University of Iowa on a risk management and insurance degree program.
Centene has promoted its chief diversity, equity and inclusion officer, Erika McConduit, to chief impact officer.
UnitedHealth Group president and COO Dirk McMahon plans to retire April 1.
Payer executives are not happy with CMS' proposed Medicare Advantage rates for 2025.
CalOptima, a Medicaid insurer in Orange County, Calif., terminated its contract with four hospitals owned by Ontario, Calif.-based Prime Healthcare on Feb. 5.