Payer

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

Cigna is expecting employers to turn their attention to virtual care, social determinants of health and behavioral care in 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.

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

UnitedHealth is still the largest Medicare Advantage carrier in the country, while CVS Health recorded 15% growth in MA membership during the annual enrollment period, according to an analysis published by Baltimore Health Analytics.

UnitedHealthcare is launching a new curated vendor hub aimed at connecting self-funded employers and their employees to health services. 

More than 15 million people have been disenrolled from Medicaid since April 2023, surpassing HHS' original estimates with several months left in the redeterminations process. 

Several insurers reported higher-than-expected medical costs in Medicare Advantage, and federal regulators predicted the program would receive billions in overpayments in 2024. 

There are major disruption opportunities ahead in the employer group insurance market by way of individual exchange coverage, and some payers are hedging their bets on the market through a newer product: ICHRAs.

Humana is expecting higher medical costs and lower Medicare Advantage enrollment to hurt its year-end earnings.