Cigna Healthcare is exiting Medicare Advantage markets or making service area reductions in eight states for 2025, according to a Sept. 18 post from insurance brokerage firm Pinnacle Financial Services.

West Virginia residents who receive health coverage on the ACA exchange receive the largest premium subsidies on average, while Minnesota residents receive the least, according to an analysis from KFF.

More Medicaid plans received 4 and 4.5 star ratings from the National Committee for Quality Assurance in 2024 than in 2023. 

The National Committee for Quality Assurance has named the best-rated Medicare Advantage plans of 2024 based on nearly 50 factors that include patient experience and clinical quality.

The National Committee for Quality Assurance has named the best-rated managed Medicaid plans of 2024 based on nearly 50 factors that include patient experience and clinical quality.

Southwestern Health Resources will not offer Medicare Advantage plans in 2025, D Magazine reported Sept. 17. 

Medicare Advantage continues to grow fast, diversifying its membership of 33.8 million people, or about 55% of the total Medicare population, according to the Better Medicare Alliance's 2024 "State of Medicare Advantage Report."

Two Medicare Advantage plans received the National Committee for Quality Assurance's five-star rating for 2024. 

The Cigna Group's pharmacy benefit manager, Express Scripts, is suing the Federal Trade Commission and Chair Lina Khan over what it describes as an "unfair, biased, erroneous, and defamatory" report on pharmacy benefit managers released by the agency earlier this year. 

The National Committee for Quality Assurance has named the best-rated health plans of 2024 based on nearly 50 factors that include patient experience and clinical quality.

Medicare Advantage plans are planning market exits for 2025, and preparing for open enrollment amid a turbulent year. 

Some Medicare Advantage plans say the turbulence facing the industry is not slowing them down. 

UnitedHealth Group's policy platform is focused on expanding value-based care. 

Debates over the Affordable Care Act have evolved in Washington, D.C., moving away from "repeal and replace" toward navigating premium subsidies set to expire at the end of 2025, The Washington Post reported Sept. 12.

Centene's Fidelis Care has reached a $7.6 million settlement agreement with New York Attorney General Letitia James for billing Medicaid for services provided by an individual convicted of a crime.

Seniors are given the opportunity to switch Medicare Advantage plans annually, but some evidence suggests that committing to multi-year contracts could lead to better health outcomes.

Anthem Blue Cross Blue Shield is requesting payments from some providers it alleges falsified patients' medical records when prescribing Ozempic, Bloomberg reported Sept. 12. 

Bonus payments to Medicare Advantage plans will decline by around 8% in 2024 compared to 2023, according to a report from KFF. 

UnitedHealthcare and Humana are expected to collectively receive 50% of total Medicare Advantage star bonus payments in 2024, while Kaiser Permanente is expected to collect the highest average bonus per enrollee ($516), according to a Sept. 11 analysis from KFF.

Aetna is facing a class-action lawsuit alleging the insurer improperly denied gender-affirming care.