Payer

The average Medicare beneficiary will have 43 Medicare Advantage plans to choose from in 2024, according to an analysis from KFF published Nov. 8. 

Indianapolis-based Elevance Health has reached a settlement with a former executive who left the company for a similar role at Long Beach, Calif.-based Molina Healthcare. 

CMS is proposing a slate of Medicare Advantage policy updates for 2025, and lawmakers are eyeing marketing and networks in the program. 

Humana reported declining income in the face of rising medical costs and is adding new sponsorships. 

Fewer Medicare Advantage plans will offer nonmedical supplemental benefits like home modifications, adult day health services and therapeutic massage in 2024, according to an analysis from ATI Advisory published Oct. 30. 

New York spends the most on its Medicaid managed care program every year, according to data published by KFF in November. The U.S. total is more than $441 billion.

Nebraska has fined Bright Health $1 million and revoked its insurance license with the state following a market conduct examination that found the company violated state law more than 21,000 times over a period of two years.

From UnitedHealthcare starting its second wave of cuts to lawmakers urging CMS to increase its oversight of artificial intelligence used in Medicare Advantage prior authorizations, here are seven updates on prior authorization Becker's has reported since Sept. 18. 

Humana announced it is sponsoring four pickleball organizations in response to the increasingly popular sport's "life-changing benefits both on and off the courts," according to a Nov. 6 news release. 

A group of federal lawmakers is asking CMS to increase its oversight of artificial intelligence and algorithms used in Medicare Advantage prior authorization decisions.