Payer

Two lawmakers are asking CMS to do more to curb overpayments to the Medicare Advantage program. 

Though Medicare Advantage enrollment keeps climbing, the program may not have the profitability it once did for insurers. 

North Carolina's State Health Plan will not cover existing prescriptions for weight-loss drugs past April 1, WECT reported Jan. 26.

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 lost $541 million in the fourth quarter of 2023, according to the company's year-end earnings report published Jan. 25.

Elevance Health is not expecting its Medicare Advantage membership to grow in 2024. 

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.

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 documents containing protected health information meant for providers were sent to the incorrect address, affecting enrollees in eight states. 

A state committee is recommending Delaware cast aside any plans to provide retired state employees health benefits through Medicare Advantage.