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.
Payer
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.
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Humana is expecting higher medical costs and lower Medicare Advantage enrollment to hurt its year-end earnings.
A federal appeals court upheld UnitedHealth Group's win in a class-action lawsuit by more than 200 physicians who said they were not paid facility fees for office-based surgeries.
Blue Cross and Blue Shield of Minnesota incorrectly imposed a state provider tax on self-funded health plan customers and violated its fiduciary duties under the Employee Retirement Income Security Act of 1974, according to a lawsuit filed against the payer…
Medicare Advantage insurers are increasingly becoming providers too, according to the Medicare Payment and Advisory Commission's 2024 status report.
Coding intensity and the types of enrollees who select Medicare Advantage plans will drive an additional $88 billion in payments to the program in 2024 compared with what traditional Medicare would receive, according to estimates from the Medicare Payment and…