• Nevada adds 114,000 residents back to Medicaid rolls

    A federal policy change has allowed Nevada reinstate Medicaid coverage to 114,000 residents who lost coverage because they did not return their renewal documentation. 
  • UnitedHealth Group to leave HQ building for Optum campus

    UnitedHealth Group will move from its headquarters building in Minnetonka, Minn., to Optum's campus in Eden Prairie, Minn., in 2024, the Minneapolis/St. Paul Business Journal reported Sept. 18. 
  • NCQA: The best-rated commercial health plans in each state | 2023

    The National Committee for Quality Assurance has named the best commercial health plans of 2023 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  • The best-rated Medicare Advantage plans in each state, per NCQA

    The National Committee for Quality Assurance awarded 24 Medicare Advantage contracts 4.5 star ratings for 2023. 
  • The best-rated Medicaid plans of 2023, per NCQA

    Thirteen Medicaid plans in seven states received 4.5 star ratings from the National Committee for Quality Assurance. 
  • How Medicare Advantage plans can tackle loneliness, per Elevance Health

    A program designed to support socially-isolated Medicare Advantage members helped improve feelings of loneliness and depression, according to a report from the Elevance Health Public Policy Institute. 
  • States ranked by percentage of publicly insured residents in 2022

    New Mexico had the highest share of publicly insured residents in 2022, with over half of the state's residents receiving insurance through Medicaid, Medicare and other public programs, according to data from the U.S. Census Bureau published Sept. 14. 
  • Best-rated Medicare Advantage plans in 2023, per NCQA

    The National Committee for Quality Assurance has named the best Medicare Advantage plans of 2023 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  • The best-rated health plans of 2023, per NCQA

    The National Committee for Quality Assurance has named the best-rated health plans of 2023 based on factors that include care quality, patient satisfaction and efforts to keep improving.
  • Where Centene's CEO sees an opportunity for disruption

    Centene CEO Sarah London said over the long term, the individual marketplace is going to be the dominant way that consumers shop for health insurance. 
  • Most uninsured cities in America

    The Houston metropolitan area had the highest percentage of uninsured residents in 2022, while the Boston metro had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. 
  • States ranked by percentage of Medicaid enrollees in 2022

    New Mexico had the highest percentage of residents enrolled in Medicaid in 2022, while Utah had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. The national Medicaid enrollment rate was 21.2 percent.
  • Medicaid in the headlines: 10 recent updates

    As Medicaid redeterminations continue, Florida is facing allegations it illegally discriminated against families and children of color in its redetermination process, and Hawaii has paused disenrollments for the remainder of 2023 in the wake of the Maui wildfires. 
  • States ranked by percentage of privately insured residents in 2022

    North Dakota and Utah had the highest percentage of privately insured individuals in 2022, according to data from the U.S. Census Bureau, published Sept. 14. 
  • Universal Health Services rebrands insurance plan to Prominence Health

    Prominence Health Plan, a subsidiary of King of Prussia, Pa.-based Universal Health Services, is rebranding to Prominence Health. 
  • States ranked by percentage of uninsured residents in 2022

    Texas had the highest percentage of uninsured residents in 2022, while Massachusetts had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. The national uninsured rate was eight percent.
  • Cigna sued by shareholder following ProPublica report on mass claim denials

    A shareholder is suing the Cigna Group in Delaware's Court of Chancery to obtain more information about the company's claims review process following a ProPublica report that alleges the company denies large batches of members' claims without individual review, Law360 reported Sept. 13.
  • Aetna, Optum can't escape class-action status in 'dummy code' case

    The 4th U.S. Circuit Court of Appeals said Sept. 13 it won't review a lower court's ruling that certified class-action status in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be billable medical charges.
  • Common procedures can double in cost when performed at an HOPD vs. ASC, BCBS data shows

    Common medical procedures can cost more than twice as much when they take place in a hospital outpatient setting compared to a physician office or ambulatory surgery center, according to an analysis published Sept. 14 by the Blue Cross Blue Shield Association.
  • CVS Health 'optimistic' its Medicare Advantage star ratings will improve

    CVS Health CEO Karen Lynch said she is "optimistic" Aetna will improve its Medicare Advantage star ratings for 2024. 

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