Payer executives are expecting to lose members in their Medicaid managed care contracts as states begin the redetermination process, but some are hopeful to convert some of these members to other lines of business.
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As Medicare Advantage insurance companies continue to grow in popularity, it’s important for our nation’s health policy leaders to ensure that MA enrollees have access to the same level of medically-necessary coverage as traditional Medicare. Fortunately, CMS has proposed a…
Several insurers and health systems have reached agreements to keep members in network in February.
Health Net Federal Services, a Centene subsidiary, is challenging the Defense Department's decision to hand over management of a Tricare contract to TriWest Healthcare Alliance, military.com reported Feb. 9.
Minnesota lawmakers are considering a bill to expand MinnesotaCare, the state's program for those with low incomes, to all residents, the Pioneer Press reported Feb. 8.
KLAS Research, a healthcare IT data and insights company, named its "Best in KLAS" payer tools for 2023.
Molina Healthcare reported double digit growth in revenue and profit year over year, according to the company's fourth quarter earnings published Feb. 8.
UnitedHealthcare has launched a new rewards program for fully-insured employers where members can use wearable devices to earn up to $1,000 annually through daily health challenges and activities.
Insurers denied around 17 percent of in-network claims for ACA Exchange plans in 2021, according to an analysis from Kaiser Family Foundation.
The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2022.