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Nearly half of Medicare Advantage beneficiaries disenroll from their plans within 5 years: Study
Many Medicare Advantage beneficiaries disenroll from their plans within five years of enrolling, a study published Aug. 25 in JAMA Health Forum found. -
Consumers want value-based care — when they know what it means
Few consumers have heard the term value-based care, a survey from EmblemHealth found. -
UPMC plan membership up, operating income down in 1st half of 2023
Pittsburgh-based UPMC's insurance services division grew membership 11 percent in the first six months of 2023 compared to the same period last year, but operating income declined by $74 million. -
NYC Medicare Advantage fight inspires 'Right to Medicare' legislation
As more employers switch to offering healthcare benefits to retired employees through Medicare Advantage, lawmakers are eyeing legislation to require employers to offer retirees a choice between traditional Medicare and MA. -
Medicare Advantage in the headlines: 10 recent updates
Health systems have considered dropping Medicare Advantage plans, and insurers are making efforts to cut back on prior authorizations in the program. -
These employers offer retired employees Medicare Advantage
A judge sided with retirees opposed to the implementation of New York City's plan to switch 250,000 retired city employees from traditional Medicare to Medicare Advantage. -
UnitedHealthcare fined $80K for delaying access to medical records
UnitedHealthcare has agreed to pay the HHS and OCR an $80,000 settlement for potentially violating the HIPAA Privacy Rule's right of access provision. -
Health plans, Medicaid, Medicare hit by massive MOVEit breach
Millions of health plan members have had their personal information, including Social Security numbers and medical history, breached in a massive attack affecting hundreds of organizations. -
Payers brace for behavioral health costs to keep rising
Demand for behavioral healthcare is on the rise. -
Cigna in the headlines: 7 recent updates
Cigna is rolling back prior authorizations and adding new AI-based offerings for members. -
Humana partners with Interwell on kidney care
Humana and kidney care provider Interwell Health have reached a value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease as well as members across the country living with end-stage kidney disease. -
4 recent payer rebrands
Here are four payer rebrands that Becker's has reported since June 23: -
The fight against Medicaid disenrollments is underway
The first lawsuit challenging the Medicaid redetermination process was filed in Florida on Aug. 22. On the same day, community organizers in Arkansas protested the process outside the state's capitol. -
Cigna ends prior authorization requirements for 25% of procedures
Cigna Healthcare has removed prior authorization requirements for more than 600 medical procedures, cutting the number of prior authorizations it requires by 25 percent. -
Elevance rebranding CareMore to Carelon Health
CareMore Health, an Elevance Health subsidiary, will rebrand as Carelon Health in January 2024. -
CarelonRx: Healthcare leaders can improve community health by adopting a patient-first mindset in specialty pharmacy
The use of specialty medications is on the rise, and we don't see that trend slowing. -
UnitedHealth Group in the headlines: 10 updates
From layoffs at Optum to Justice Department scrutiny over its proposed acquisition of Amedisys, here are 10 updates on UnitedHealth Group that Becker's has reported since Aug. 3: -
UnitedHealth to pay cash dividend to shareholders
UnitedHealth Group's board of directors authorized to pay a cash dividend of $1.88 per share on Sept. 19 to all shareholders of record as of Sept. 11, according to an Aug. 23 company news release. -
Kaiser extends coverage for larger employers across all of Colorado
Oakland, Calif-based Kaiser Permanente is expanding its insurance plans for employers across all of Colorado, moving away from just its current urban focus in the state, according to an Aug. 22 Denver Business Journal report. -
Appellate court partially revives UnitedHealth reprocessing case
A federal appellate court ruled that some beneficiaries of UnitedHealth Group's behavioral health unit may be entitled to have their claims reprocessed, according to an Aug 22 decision.
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