-
Medicare Advantage dental benefits lacking, study finds: 3 notes
While most Medicare Advantage plans offer dental benefits, few of these benefits are comprehensive, a study published Dec. 26 in JAMA found. -
Medicare Advantage in the headlines: 7 recent updates
An insurer reached a nearly $100 million settlement over allegations of overpayments, and CMS plans to sunset a value-based model over "unprecedented" costs. -
Sickness scores surged for UnitedHealth Medicare Advantage patients: WSJ
UnitedHealth Group has optimized its ability to increase Medicare Advantage members' sickness scores and corresponding government payments by directly employing thousands of physicians at Optum and integrating sophisticated software tools into clinical workflows, according to a Dec. 29 investigation from The Wall Street Journal. -
Health insurers confront climate change
Climate change is becoming an increasingly urgent challenge for the health insurance industry. -
Medicare Advantage insurer to pay up to $98M to settle false claims allegations
Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments. -
Medicaid spending on weight loss, diabetes drugs up 500% since 2019: 5 numbers to know
Medicaid could spend $29.9 billion on drugs to treat type 2 diabetes and weight loss, according to a report from HHS' Office of Inspector General. -
Improving access and reducing costs: Transformational technology delivers results
One in four people in the United States struggle with mental health, and leaders agree that today's system lacks the resources to support them. Issues such as prolonged wait times, inadequate insurance coverage, and a scarcity of providers across the country highlight the urgent need for innovation in mental health. -
After slow start, ACA enrollment takes off
Enrollment on the ACA marketplace reached 16.6 million consumers as of Dec. 18. -
Senators ask GAO to investigate Georgia' Medicaid work requirement program
Three Democratic U.S. senators are asking the Government Accountability Office to investigate the costs of Georgia's Medicaid work requirement program, KFF Health News reported Dec. 18. -
ICHRA platform raises $100M
ICHRA broker platform Remodel Health has raised more than $100 million in growth funding. -
OSU Wexner, startup payer partner on transparent pricing model
Startup insurer Sidecar Health has inked a transparent pricing agreement with The Ohio State University Wexner Medical Center. -
SCAN Group: It's time for a Healthtech Moonshot
Our healthcare system badly lags other industrialized nations in terms of what we spend and the outcomes we achieve, and the culprit is fairly obvious: we spend five times our peer nations on administrative expenses. How bad is it? Our doctors still rely heavily on faxes — yes, faxes — for communications. -
12 key insurance industry lawsuits in 2024
From antitrust challenges from the federal government over proposed acquisitions, to industrywide disputes over Medicare Advantage star ratings, these are 12 key insurance industry lawsuits filed or settled in 2024: -
New York City loses Medicare Advantage appeal
New York City must pay for the cost of any plan it offers to its retired employees, the state's appeals court ruled, complicating its path to implementing a Medicare Advantage plan. -
8 payer partnerships in 2024 to know
Payers partnered with Google, Instacart and other tech companies in 2024. -
Sanford, Bryan Health to launch joint Medicare Advantage plan: 3 notes
Sanford Health Plan and Lincoln, Neb.-based Bryan Health will launch a joint Medicare Advantage plan in 2026. -
4 prior authorization updates to know in 2024
From CMS finalizing a rule aimed at streamlining the process to UnitedHealthcare launching a gold-card program, here are four key prior authorization updates Becker's reported in 2024: -
2024's 10 biggest Medicare Advantage stories
2024 was a tumultuous year for Medicare Advantage. -
OIG warns of risky Medicare Advantage marketing schemes
HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage. -
The 4 best-managed payers of 2024
Four health insurers earned a spot on the latest list of the 250 best-managed companies, as ranked by the Drucker Institute.
Page 6 of 50