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Cigna Group posts $1.5B profit in Q2, boosts year-end earnings
The Cigna Group raised its year-end revenue projections to $190 billion and reported a 6 percent decrease in shareholders' net income, according to the company's second quarter earnings published Aug. 3. -
Health Partners Plans rebranding as Jefferson Health Plan
Health Partners Plans will rebrand as Jefferson Health Plans, beginning with its Medicare plans in 2024. -
CVS Health, Humana bracing for rising Medicare Advantage costs to continue
Higher utilization is putting pressure on Medicare Advantage medical cost ratios and will likely continue through the end of 2023, executives from CVS Health and Humana told investors. -
Medica launching new Medicare Advantage plan with OSF Healthcare
Medica is expanding to seven counties in Illinois through a collaboration with Peoria, Ill.-based OSF Healthcare. -
How Medicaid redeterminations could slow the opioid epidemic fight
Providers and public health experts are concerned that Medicaid redeterminations could hamstring efforts to combat the opioid epidemic, Politico reported Aug. 1. -
35% of Medicaid enrollees say their health plan hasn't reached out about redeterminations: Survey
A large number of Medicaid enrollees, especially seniors, say their health plan has not reached out about how to renew coverage amid redeterminations, according to a new survey. -
Humana posts $959M profit in Q2, boosts Medicare Advantage expectations
Humana posted a 38 percent increase in profits year over year and expects to exceed the industry's average Medicare Advantage growth rate this year, according to the company's second-quarter earnings released Aug. 2. -
7 ways health plans are containing weight loss drug costs
Around 6 in 10 health plans have provider education in place to promote alternative options to costly GLP-1 drugs like Ozempic and Wegovy for obesity and diabetes treatment, according to a survey from diabetes management provider Virta Health. -
CMS introduces Medicare dementia care alternative payment model
CMS is launching a new Medicare alternative payment model designed to help people with dementia remain in their homes and provide better support to their caregivers. -
Cancer screenings double when patients receive Medicare, Epic research finds
Patients are more likely to receive cancer screenings in their first year of Medicare coverage than in previous years, a study from Epic Research found. -
US Labor Department sues UnitedHealth Group over emergency claims denials
UnitedHealth Group subsidiary UMR incorrectly denied emergency room and urinary drug screening claims for 'thousands," the U.S. Department of Labor alleges in a lawsuit filed July 31 in a Wisconsin federal court. -
Representatives unveil Medicare Advantage gold-card legislation
Two U.S. representatives have introduced gold-card legislation that would exempt qualifying providers from prior authorization requirements for Medicare Advantage plans. -
CMS projects slightly lower Medicare Part D premiums in 2024
CMS is projecting Medicare Part D premiums to decrease by 1.8 percent in 2024, the agency said in a July 31 news release. -
13 states where more than half of dual-eligible people choose Medicare Advantage
Around half of beneficiaries dually-eligible for Medicare and Medicaid are enrolled in Medicare Advantage, according to a July 31 analysis from KFF. -
Health plans are dropping weight loss drugs like flies
As demand for GLP-1s such as Ozempic and Wegovy continues to surge, payers and self-insured employers are dropping coverage for the weight loss medications left and right. -
Martin's Point Health to pay $22.5M to settle alleged Medicare Advantage fraud
Portland, Maine-based Martin's Point Health Care has agreed to pay $22.5 million to resolve allegations that it knowingly submitted inaccurate diagnosis codes for Medicare Advantage Plan enrollees to increase reimbursements from Medicare. -
Elevance Health to rebrand Amerigroup as Wellpoint
Elevance Health is rebranding its Amerigroup subsidiary as Wellpoint. -
54,000 enrolled in Marketplace coverage in first month of Medicaid redeterminations
Federal and state-based insurance marketplaces received around 140,000 applications from people who previously had Medicaid coverage in April, according to data from CMS. -
Centene could lose its last 4-star Medicare Advantage contract
Centene could end 2023 with no four-star rated Medicare Advantage contracts, CEO Sarah London told investors on a July 28 call. -
California to eliminate asset tests for Medicaid
CMS has approved a proposal from California to eliminate asset tests for Medicaid eligibility.
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