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Medicare Advantage in the headlines: 8 recent updates
CMS has published its star ratings for 2025, and some insurers are pushing back. -
24 Medicare Advantage plans rated below 3-stars | 2025
Fewer Medicare Advantage plans received ratings below 3-stars for 2025 compared to 2024. -
7 5-star Medicare Advantage plans | 2025
Just seven Medicare Advantage plans earned a 5-star rating from CMS for 2025. -
Medicare Advantage star ratings decline: 5 things to know
Average Medicare Advantage star ratings declined for the third year in a row, according to CMS data published Oct. 10. -
Employers' health insurance premiums up 7%: 10 numbers to know
The average annual premiums for employer-sponsored insurance for families increased by 7% in 2024, according to KFF's annual Employer Health Benefits Survey. -
Cigna in the headlines: 10 updates
From suing — and getting sued by — the FTC, to naming a new chief legal officer, here are 10 updates on Cigna and its subsidiaries that Becker's has reported since Aug. 28: -
Insurers respond to Hurricane Milton: 5 notes
Insurers are offering early prescription refills and easing prior authorizations as Hurricane Milton approaches Florida. -
Weight loss drug coverage could cost Medicare $35B by 2034, CBO says: 4 notes
Authorizing Medicare to cover weight loss drugs would cost the federal government an estimated $35 billion over nine years, according to a new report from the Congressional Budget Office. -
Aetna in the headlines: 10 updates
From a "landmark policy change" to CVS Health announcing another round of layoffs, here are 10 updates on Aetna that Becker's has reported since Aug. 13: -
L.A. Care reaches $55M settlement with California
L.A. Care will pay a $55 million penalty to resolve allegations the plan improperly denied claims, and had a backlog of unresolved grievances. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
Judge halts Texas Medicaid shakeup
A Texas state judge handed a victory to system-owned health plans that missed out on Texas' Medicaid contract awards, The Dallas Morning News reported Oct. 4. -
UnitedHealth Group in the headlines: 10 updates
From suing CMS over one phone call to launching its prior authorization gold-card program, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Sept. 11: -
Medicaid MCOs can do more on maternal health, OIG says: 5 notes
States could better leverage Medicaid managed care organizations to promote maternal health, a report from HHS' Office of Inspector General found. -
UnitedHealthcare expanding ACA plans to 4 new states
UnitedHealthcare is expanding its individual and family ACA marketplace plans to four new states and adding 119 new counties in 13 current states for 2025. -
Senator promises 'dramatic' Medicare Advantage investigation
The Senate Permanent Subcommittee on Investigations will release a "dramatic" report on Medicare Advantage in the coming weeks, Sen. Richard Blumenthal said. -
Medicaid call center operator pays $11.3M to settle False Claims Act liability
A New Jersey-based company has agreed to pay more than $11.3 million to settle False Claims Act allegations arising from fraudulently reported call center performance metrics and fraudulent claims to the South Carolina Department of Health and Human Services. -
UnitedHealthcare sues CMS over 1 phone call
UnitedHealthcare is asking a federal court to prevent CMS from downgrading its Medicare Advantage star ratings based on one phone call. -
Centene expands ACA plans to 60 new counties for 2025
Centene's Ambetter Health individual plans will expand to 60 new counties in 2025. -
USP to offer online, interactive access to drug classification system
The USP Drug Classification PLUS is an offering from USP that provides online, interactive access to the USP Drug Classification (an independent drug classification of FDA-approved drugs, organized by categories and classes) with:
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