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3 ways Medicare Advantage affects primary care physicians
There are few statistically significant differences between the way primary care physicians treat patients in Medicare Advantage and fee-for-service Medicare, according to the Commonwealth Fund. -
10 recent payer partnerships
From chronic disease management to mental health investments, these are 10 partnerships announced by health insurers within the last year: -
Georgia Medicaid work requirement program spending more on consultants than care: Report
Georgia's alternative to expanding Medicaid under the ACA has cost $26.6 million through Dec. 31, with 90% of that money going toward administrative and consulting costs, KFF Health News reported March 20. -
States lacking in Medicaid denial oversight, government watchdog says
States and CMS can increase their oversight of denials by Medicaid managed care organizations, according to a report from the Government Accountability Office. -
Centene subsidiary to reimburse hospitals' health equity accreditation costs
Meridian Health Plan of Illinois will reimburse a portion of the certification fees for hospitals that participate in The Joint Commission's Health Care Equity Certification. -
Mount Sinai, UnitedHealthcare reach multiyear agreement
UnitedHealthcare and New York City-based Mount Sinai reached a multiyear contract agreement March 19, effective immediately, after a monthslong contract dispute. -
The 10 best health insurance companies of 2024
Kaiser Permanente is the best U.S. health insurance company in 2024, according to Insure.com's annual ranking. -
Highmark Health Plans posts $400M margin for 2023
Highmark Health posted an operating income of $533 million on revenues of $27.1 billion in 2023, bolstered by membership growth in its health plans, the company said. -
CMS adds new ACO model: 5 things to know
CMS will introduce a new payment model designed to spur innovation in primary care for Medicare beneficiaries. -
Change attack update: What 15 payers discussed with the Biden administration
Fifteen insurers and trade groups met with Biden administration officials March 18 to discuss the industry's ongoing response to the cyberattack on Change Healthcare last month. -
Cigna's 5 highest-earning executives in 2023
Cigna Group CEO David Cordani was paid $21 million in total compensation in 2023, up slightly from 2022. -
Payers to meet with federal officials over Change attack
Federal health officials and payers are expected to meet March 18 to discuss how to support providers still struggling financially following the February cyberattack on UnitedHealth's Change Healthcare, according to a Bloomberg report. -
5 trends shaping the future of Medicare Advantage
Higher medical spending could be the new normal in Medicare Advantage — and insurers will have to find a way to respond, McKinsey analysts wrote. -
MedPAC: Medicare Advantage needs major overhaul — now
The Medicare Payment and Advisory Commission called for a "major overhaul" of Medicare Advantage policies in its annual report to Congress. -
Anthem loses out on Kentucky Medicaid contract after court ruling
Elevance Health's Anthem BCBS subsidiary will not administer Medicaid benefits in Kentucky, the state's supreme court ruled March 14, the Kentucky Lantern reported. -
Hospital CEO blames Medicare Advantage for layoffs
A lack of payments from Medicare Advantage plans is one reason a Connecticut hospital is laying off staff, the Hartford Courant reported March 14. -
These 9 states cover Wegovy through Medicaid
Five states offered unrestricted coverage of the weight loss drugs Wegovy and Saxenda, a study published March 14 in JAMA found. -
Feds sue 6 health plans for allegedly hiding overpayments
The Justice Department is suing six health plans participating in the Uniformed Services Family Health Plan program for allegedly concealing overpayments for services provided to retired military members and their families. -
Medicare Advantage in the headlines: 9 recent updates
Several new studies uncovered differences between Medicare Advantage and fee-for-service, and CMS is calling on Medicare Advantage organizations to extend advanced funding to providers affected by the Change Healthcare outage. -
Washington state fines Molina Healthcare for enrollment, billing errors
The Washington state insurance commissioner's office fined Molina Healthcare of Washington $100,000 for enrollment and billing errors.
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