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The fastest growing Medicare Advantage startup plans
Devoted Health is the fastest growing Medicare Advantage startup plan, according to an analysis from Chartis. -
More traditional Medicare enrollees are adding Medigap plans: 5 things to know
The share of original Medicare enrollees adding Medicare supplement plans is on the rise, according to a report from AHIP. -
All of Michigan's insurers pledge to continue preventive coverage
All insurers operating in Michigan's individual, small and large group commercial markets have pledged to continue covering preventive care while a court ruling striking down some no-cost preventive care requirements is appealed, the Detroit Free-Press reported April 6. -
4 in 5 payer physician directory entries are inconsistent: Study
Most physician information is inconsistent across payer directories, a study published in JAMA found. -
US Postal Service seeking payer proposals for new employee health plan
The U.S. Office of Personnel Management is seeking contract proposals from payers as it creates a new health plan for U.S. Postal Service employees and their families. -
4 recent state moves to take financial control of startup health plans
Since last fall, several state insurance departments have made moves to restrict the financial autonomy of two startup health plans, Bright Health and Friday Health Plans. -
Elevance Health in the headlines: 9 recent updates
Elevance Health is divesting parts of its business and acquiring new subsidiaries. -
Where uninsured rates will land after Medicaid redeterminations, state-by-state
Millions of people will no longer be covered by Medicaid over the next 14 months, but some will transition to other forms of coverage. -
California’s Medicaid program will continue doing business with Walgreens
California will continue to pay Walgreens for Medi-Cal prescriptions, despite a tweet in March from Gov. Gavin Newsom indicating that the state was done doing business with the pharmacy chain, Kaiser Health News reported April 6. -
Oklahoma places Friday Health under supervision
Oklahoma has placed insurance company Friday Health under the supervision of the state's insurance department over concerns about the company's "declining financial situation." -
Independence Blue Cross reports $156M income in 2022
Independence Blue Cross' operating margins declined in 2022, driven by increased utilization as more members received routine care as the pandemic waned. -
6 reactions to CMS' final risk adjustment changes
CMS published its final Medicare Advantage rate notice for 2024 on March 31, moving ahead with changes to risk adjustment payments but phasing in the model over three years. -
AHIP names two new execs
AHIP has tapped two new executive vice presidents to lead the trade association's lobbying and communication efforts. -
States with the lowest rates of Medicare Advantage adoption in 2023
Just 1 percent of people eligible for Medicare in Alaska are enrolled in Medicare Advantage, according to data from Chartis. -
In markets with high Medicare Advantage penetration, even traditional Medicare enrollees use less postacute care
Enrollees in Medicare Advantage and traditional Medicare use less postacute care in markets with higher Medicare Advantage penetration, a study published in the April issue of Health Affairs found. -
10 updates on prior authorization
From groups weighing in on CMS' proposed rule to reform the process, to UnitedHealthcare announcing plans to eliminate 20 percent of its current requirements, here are 10 updates about prior authorization Becker's has reported since March 13: -
Lawmakers take aim at PBMs, 'spread pricing'
A pair of Senators have introduced a bill aimed at limiting the alleged abusive pricing practices by pharmacy benefit managers, including the spread pricing technique. -
UnitedHealth in the headlines: 9 updates
From announcing a plan to eliminate 20 percent of its current prior authorization requirements, to its proposed acquisition of a U.K.-based company facing a deeper probe, here are nine updates about UnitedHealth Group that Becker's has reported since March 14: -
Why Special Needs Plans beneficiaries need specialized caregiver support
More Americans than ever are beneficiaries of a Special Needs Plan (SNPs). -
Medicare Advantage outperformed traditional Medicare on clinical quality, study finds
Medicare Advantage outpaced traditional Medicare on most clinical quality measures in 2010 and 2017, a study published in Health Affairs found.
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