Marketplace enrollment could decline between 47% and 57% if premium tax credits expire and proposed changes in Congress become law, according to an analysis from Wakely, a healthcare market research firm . The “One Big Beautiful Bill,” a 1,000+ page…
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Medicare Advantage enrollees experience longer hospital stays before being discharged to post-acute care settings compared to individuals enrolled in traditional Medicare, according to a June 2025 analysis by NORC at the University of Chicago. The analysis was commissioned by the…
The largest Medicare Advantage insurers are backing reforms to the program, and lawmakers are drafting new legislation targeting MA. Here are 10 Medicare Advantage developments Becker’s has reported since May 28.
Health plan executives and marketing leaders are facing intensifying pressure to grow member volumes, improve outreach and engage consumers digitally — all while navigating an evolving legal minefield of data privacy risks. At the heart of the challenge lies the…
The investment arm of Marietta, Ga.-based Wellstar Health System, Catalyst by Wellstar, has invested in Venteur, a digital health startup that administers Individual Coverage Health Reimbursement Arrangement plans. ICHRAs allow employers to contribute tax-free dollars to employees’ health benefits, which…
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The broader health insurance industry has announced a series of commitments to streamline, simplify and reduce prior authorization requirements across commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans. “The health care system remains fragmented and burdened by…
New York City Mayor will not implement an Aetna Medicare Advantage plan for its retirees, Mayor Eric Adams said June 20. “We have heard concerns from retirees about these potential changes at numerous older adult town halls and public events,…
At Becker’s 15th Annual Meeting, leaders from Microsoft and Blue Shield of California shared how AI is one tool to help transform payer operations — not by replacing humans, but by personalizing care, cutting friction and restoring trust. Christine McKinney,…
From exploring the sale of a South American-based subsidiary to suing The Guardian for defamation, here are 10 updates on UnitedHealth Group that Becker’s reported since June 2: 1. A federal judge approved a $69 million agreement to settle a…
New York City can implement an Aetna Medicare Advantage plan for its retirees, the state’s highest court ruled June 18. The city has pushed to switch its health benefits for retired city employees to a Medicare Advantage plan since 2021.…