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States ranked by ACA enrollment growth in 2024
Open enrollment for the ACA exchanges is finished in most states and a record 21.3 million people are enrolled — a 30% increase year over year, or 5 million people. -
Self-funded plans on the rise
The share of U.S. employees in healthcare plans funded by their employer rose from 2015 to 2021, a study published in the January issue of Health Affairs found. -
ACO participation grows for 2024
Nearly half of people with traditional Medicare are aligned with Accountable Care Organizations, CMS said Jan. 29. -
Dr. Sachin Jain: 5 fixes for Medicare Advantage
Five key changes could improve Medicare Advantage, SCAN Group CEO Sachin Jain, MD, wrote in Forbes Jan. 30. -
Humana to add 3 more CenterWell markets
Humana is expanding its primary care business for seniors into three new markets in 2024 and adding new centers in eight existing markets. -
No Surprises Act prevents 10M surprise bills, insurance groups say
The federal No Surprises Act is estimated to have prevented more than 10 million surprise medical bills during the first nine months of 2023, according to a Jan. 26 report from AHIP and the Blue Cross Blue Shield Association. -
Why Blue Shield of California's Medicaid plan is paying for members to get GEDs
Blue Shield of California Promise Health Plan is now offering its Medicaid members in Los Angeles and San Diego counties the opportunity to earn their GED diploma at no cost, a first of its kind program in the state. -
Lawmakers urge more action on Medicare Advantage overpayments
Two lawmakers are asking CMS to do more to curb overpayments to the Medicare Advantage program. -
Has Medicare Advantage lost its luster?
Though Medicare Advantage enrollment keeps climbing, the program may not have the profitability it once did for insurers. -
North Carolina state health plan drops weight loss drug coverage
North Carolina's State Health Plan will not cover existing prescriptions for weight-loss drugs past April 1, WECT reported Jan. 26. -
Unprecedented Medicare Advantage costs drive steep losses for Humana
Humana reported a $541 million loss in the fourth quarter of 2023, facing what executives called an unprecedented increase in Medicare Advantage medical costs. -
Humana posts $541M loss in fourth quarter
Humana lost $541 million in the fourth quarter of 2023, according to the company's year-end earnings report published Jan. 25. -
Elevance projects flat Medicare Advantage membership in 2024
Elevance Health is not expecting its Medicare Advantage membership to grow in 2024. -
Elevance Health posts $856M profit in fourth quarter
Elevance Health posted $856 million in net income during the fourth quarter, according to the company's year-end 2023 earnings report published Jan. 24. -
High-deductible plan enrollment shrinks for 1st time since 2013
Fewer workers were enrolled in high-deductible plans in 2022 than in 2021, the first time enrollment has dipped since 2013, according to an analysis from ValuePenguin published Jan. 22. -
Humana sent protected health information to the wrong address
Humana documents containing protected health information meant for providers were sent to the incorrect address, affecting enrollees in eight states. -
Delaware committee advises against Medicare Advantage for state retirees
A state committee is recommending Delaware cast aside any plans to provide retired state employees health benefits through Medicare Advantage. -
Cigna's top healthcare trends for 2024
Cigna is expecting employers to turn their attention to virtual care, social determinants of health and behavioral care in 2024. -
10 payers that lost Medicare Advantage members for 2024
While overall Medicare Advantage enrollment grew 2.5% during the annual enrollment period, several payers saw their membership decline, according to an analysis published by Baltimore Health Analytics. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations.
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