On April 11, CMS fined three PACE organizations for failing to meet essential program requirements, including inadequate service provision, poor tracking and documentation of services, and failure to ensure recommended services were either provided or properly documented with valid reasons…
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There may be a link between rising insurance premiums and increased utilization of services, particularly across the Medicare Advantage space. In its first quarter earnings report, UnitedHealth Group reduced its year-end earnings outlook amid rising use of physician and outpatient…
UnitedHealth Group CEO Andrew Witty was the highest-paid payer CEO in 2024. Mr. Witty earned $26.3 million in total compensation in 2024, up from $23.5 million in 2023. Most CEOs’ pay increased slightly from 2023, while Elevance Health CEO Gail…
Health insurance leaders were paid up to 370 times more than their respective median employee in 2024, according to recently filed proxy statements. Payers ranked by CEO-to-worker pay ratios:
Medicare Advantage costs are “elevated, but manageable,” according to Elevance Health CFO Mark Kaye. The company reported its first quarter earnings April 22. Total revenue in the first quarter was $40.9 billion, up 14.6% from the first quarter of 2024.…
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UnitedHealth Group CEO Andrew Witty earned $26.3 million in total compensation in 2024. The company disclosed pay information for its highest-paid employees in its annual proxy report published April 21. Mr. Witty’s pay increased around 12% from 2023, when he…
CMS has suspended enrollment for two Medicare Advantage prescription drug plans offered by eternalHealth, a Boston-based insurer. In March, Massachusetts regulators banned eternalHealth from marketing any of its products and services in the state and suspended new member agreements until…
Texas lawmakers are urging further action against Superior Health Plan, after the plan’s former CEO admitted to using private investigators to research lawmakers. In an April 10 letter, the members of Texas House Committee on Delivering on Government Efficiency requested…
Five Blue Cross Blue Shield plans will require prior approval for certain severe asthma medications when administered in a healthcare setting, as part of a broader update to its medical policies for self-administered drugs. The change includes four injectibles commonly…
The executive vice president of an insurance brokerage firm pleaded guilty to his role in a scheme to submit fraudulent applications to enroll individuals in ACA plans. The purpose of the scheme was to obtain millions of dollars in commission…