Medicare Advantage enrollees tend to have lower hospital readmissions rates and expenses than their counterparts in fee-for-service, studies have uncovered.
Payer
More than 10 million people have been disenrolled from Medicaid through the redeterminations process, and plans are facing fines for violating mental health parity laws.
ACA marketplace risk adjustment payments are working as intended, an analysis from Oliver Wyman, commissioned by the Blue Cross Blue Shield Association, found.
The Blue Cross Blue Shield Association allowed federal employees' sensitive medical information to be obtained by third-party technology companies, including TikTok, according to a lawsuit filed Nov. 7 in a federal court in Chicago.
Starting this month, all living World War II veterans will be eligible to access healthcare services at no cost through the Department of Veterans Affairs, the White House said Nov. 10.
UnitedHealthcare has the most in-network physicians and healthcare professionals in California, according to the company's website.
The federal government is ramping up scrutiny of Medicare Advantage plans.
New York has fined five Medicaid managed care plans a total of $2.6 million following an examination of their reimbursement of behavioral health claims that found "repeatedly and inappropriately denied claims" or failure to pay for services at rates required…
Four new insurers will enter the Medicare Advantage market in 2024, according to an analysis from KFF published Nov. 8.
Major health insurers are offering Medicare Advantage plans in more counties in 2024 than they did in 2023, according to a Nov. 8 report from KFF.
