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The cities with the least competitive Medicare Advantage markets | 2024
Most Medicare Advantage markets are highly concentrated, but in a handful of markets, one payer controls more than 70% of the MA landscape, according to the American Medical Association's annual Competition in Health Insurance report. -
States ranked by Medicare Advantage offerings in 2025
The average Medicare beneficiary will have 34 Medicare Advantage plans available to them in 2025, with Pennsylvania being the highest at 71 plans, according to KFF. -
The largest Medicare Advantage insurer by state
The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report. -
California aims for insurers to spend 15% on primary care by 2034: 8 notes
Primary care accounts for more than 35% of U.S. healthcare visits, but only 5% of healthcare spending. To address this gap, a California agency has set a goal for insurers in the state to direct 15% of their spending to primary care by 2034, KFF Health News reported Nov. 21. -
The cities with the most competitive Medicare Advantage markets | 2024
The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report. -
The states with the least competitive commercial insurance markets | 2024
Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association. -
Dr. Oz on Medicare Advantage: 5 things to know
Prospective CMS Administrator Mehmet Oz, MD, has been a major proponent of Medicare Advantage, and has pitched expanding the program to extend coverage to all Americans. -
'A fox in the henhouse': Owens & Minor sues Anthem in latest data transparency lawsuit
Healthcare logistics company Owens & Minor has filed a lawsuit against Anthem Blue Cross and Blue Shield of Virginia, accusing the insurer of failing to uphold its fiduciary duties under ERISA through mismanagement of its employee health plan. -
UnitedHealth Group in the headlines: 12 updates
From the Justice Department suing to stop its acquisition of a home health company to naming a new chief information security officer, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Nov. 1: -
The cities with the most competitive commercial insurance markets | 2024
Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association. -
UnitedHealth alleges unfair treatment in star ratings
UnitedHealthcare alleges CMS treated its Medicare Advantage star ratings differently compared to Elevance Health, according to court documents unsealed Nov. 18. -
Where 6 payers' Medicare Advantage businesses are headed in 2025, per their CEOs
Medicare Advantage plans faced several headwinds in 2024, including rising medical costs, declining star ratings and a tougher reimbursement environment. -
Molina, Instacart partner on food insecurity program in Michigan
Molina Healthcare is partnering with Instacart in Michigan to address food insecurity among expectant mothers. -
Payers ranked by Medicare Advantage market exits | 2025
The 2025 Medicare Advantage market is seeing major changes, with some insurers expanding into new counties and others exiting certain counties. -
2 Aetna employees arrested in $1.1M fraud scheme
Two Aetna employees were arrested for allegedly orchestrating a $1.1 million fraud scheme, according to a Nov. 15 news release from Florida CFO Jimmy Patronis. -
BCBS Massachusetts weight loss drug spend jumps 250%: 5 notes
Blue Cross and Blue Shield of Massachusetts reported a $114 million operating loss in the first nine months of the year, partly due to skyrocketing claims for GLP-1 medications. -
Generative AI will profoundly change healthcare operations
Fast-paced advancements in generative AI will change the core operations of every healthcare organization. AI-driven technology is not just a side project anymore. AI solutions including generative AI are finally advanced enough to deploy at scale and provide a frictionless customer experience. -
Commercial, individual markets growing increasingly concentrated: 7 numbers to know
Private health insurance markets grew more concentrated over the past decade, according to a report published by the Government Accountability Office Nov. 14. -
5 benefits Medicare Advantage plans are cutting back for 2025
Fewer Medicare Advantage insurers will offer remote access technologies and over-the-counter benefits in 2025 than in 2024, according to an analysis from KFF. -
Value-based models picked up steam in 2023: 5 numbers to know
The percentage of healthcare risk dollars in two-sided risk arrangements grew across all types of health plans in 2023, according to the Healthcare Payment Learning and Action Network's annual report.
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