Payer

Elevance Health and its insurance subsidiaries are suing HHS for "unlawful, and arbitrary and capricious" methodology changes to how Medicare Advantage and Part D star ratings are calculated.

UnitedHealth group has the largest Medicare Advantage market share in 25 states, according to the American Medical Association. 

CMS rejected around a third of proposed Medicare Advantage television ads in 2023, Politico reported Jan. 5. 

CVS Health beat its expectations for growth during Medicare Advantage open enrollment, the company said. 

Blue Cross Blue Shield of Alabama has more than 90% of the commercial and exchange insurance market share in three cities in the state, the most highly concentrated markets in the U.S., according to the American Medical Association. 

Several mergers and acquisitions are afoot in Medicare Advantage. 

During a featured panel discussion at Becker's Payer Issues Roundtable, panelists discussed care access trends among older patient populations. Panelists highlighted the fragmented health system, shortage of providers across skill levels and significant variations in access to care as systemic…

Medicare Advantage beneficiaries are more likely to be prescribed biosimilar drugs than their counterparts in traditional Medicare, a study published Dec. 28 in JAMA Health Forum found. 

UnitedHealth Group is suing a group of corporate entities founded by two of its former executives after they allegedly stole and used confidential information from the company to create their own competing product for diabetes management.

Centene will pay South Carolina $25.9 million to settle allegations the company overcharged the state's Medicaid program for pharmacy services.