• Cigna to trim Medicare Advantage offerings in 8 states 

    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.
  • States ranked by average monthly ACA subsidy per enrollee 

    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.
  • The top-rated managed Medicaid plan in each state: NCQA

    More Medicaid plans received 4 and 4.5 star ratings from the National Committee for Quality Assurance in 2024 than in 2023. 
  • Best-rated Medicare Advantage plans in 2024: NCQA

    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 best-rated managed Medicaid plans of 2024: NCQA

    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.
  • Texas system shutters Medicare Advantage plan

    Southwestern Health Resources will not offer Medicare Advantage plans in 2025, D Magazine reported Sept. 17. 
  • The state of Medicare Advantage in 2024

    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."
  • The best-rated Medicare Advantage plans in each state: NCQA

    Two Medicare Advantage plans received the National Committee for Quality Assurance's five-star rating for 2024. 
  • Cigna sues FTC over 'defamatory' PBM report

    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 best-rated health plans of 2024: NCQA

    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 in the headlines: 10 recent updates

    Medicare Advantage plans are planning market exits for 2025, and preparing for open enrollment amid a turbulent year. 
  • The Medicare Advantage plans shrugging off headwinds

    Some Medicare Advantage plans say the turbulence facing the industry is not slowing them down. 
  • UnitedHealth's public policy recommendations: 10 things to know

    UnitedHealth Group's policy platform is focused on expanding value-based care. 
  • The next big ACA fight: Subsidies

    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 subsidiary to pay New York $7.6M for using banned Medicaid provider

    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.
  • Should the Medicare Advantage window be widened?

    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.
  • Elevance intensifies Ozempic crackdown

    Anthem Blue Cross Blue Shield is requesting payments from some providers it alleges falsified patients' medical records when prescribing Ozempic, Bloomberg reported Sept. 12. 
  • Medicare Advantage bonus payments decline for first time since 2015

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

    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 faces class action lawsuit over gender-affirming care

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

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