Sentara Health Plans will not offer Medicare Advantage, MA prescription drug HMO, or C-SNP plans in Virginia, North Carolina and Florida in 2026. “These products are no longer financially sustainable in the current environment. Industry-wide headwinds and market dynamics, including…
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A shareholder of UnitedHealth Group has put forward a proposal calling for the appointment of an independent chairperson for the company’s board that is separate from the CEO position, Bloomberg reported Oct. 3. Earlier this year, UnitedHealth named its board…
As many major insurers scale back on Medicare Advantage, some players are exiting the market entirely. Here’s a look at the insurers that are fully backing out: Editor’s note: This is not an exhaustive list. It will continue to be…
Ochsner Health Plan will no longer offer Medicare Advantage plans in 2026. The insurer, part of Jefferson, La.-based Oschner Health, has around 6,000 total MA members, per CMS enrollment data. The majority of members are enrolled in an HMO plan,…
New Mexico lawmakers are advancing legislation that would use state funds to offset the impending expiration of ACA enhanced premium tax credits. The bill, passed Oct. 1 in the state’s House of Representatives, would take effect immediately if signed by…
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Blue Cross Blue Shield is exiting the Medicare Advantage market for 2026, citing an unsustainable market to offer affordable products. The company will continue to offer Medicare supplement plans, according to an Oct. 1 news release. Many insurers have exited…
CMS has suspended Gold Kidney of Florida from enrolling new members into one of its Medicare Advantage plans after state regulators found significant compliance and financial oversight failures. On Sept. 12, the Florida Office of Insurance Regulation issued a consent…
Only 20% of Humana members are currently enrolled in Medicare Advantage plans with at least four stars for 2026, according to regulatory filings from the insurer. Preliminary 2026 Medicare Advantage star ratings data was available on CMS plan finder on…
Older, medically complex Medicaid beneficiaries are among those most at risk of losing coverage due to work requirements, according to a study published Oct. 1 in JAMA. A team led by researchers at Yale University in New Haven, Conn., used…
As the Medicare annual open enrollment period kicks off this month, some older adults struggle with choosing a plan. Three-quarters of beneficiaries said the process is confusing, according to an Oct. 1 eHealth poll. “This is not the year for…