Payer

Participants in the Medicare Global and Professional Direct Contracting model saved the program more than $300 million in net savings in 2022. 

Centene reported a 36% decline in net income year-over-year, along with major growth in exchange enrollment, according to its third-quarter earnings posted Oct. 24.

The nation's only Medicaid program that requires proof of work to receive benefits is off to a slow start, the Georgia Recorder reported Oct. 21. 

Around 2.3 million people would gain insurance coverage if 10 states expanded Medicaid in 2024, according to an Oct. 23 report from the Robert Wood Johnson Foundation. 

Here are eight providers that payers have acquired or announced plans to acquire in 2023: 

The Cigna Group will pay over $170 million to settle allegations of Medicare Advantage fraud, and government watchdogs are auditing other plans for potential overpayments. 

Illinois will pause enrollment in a Medicaid-like program for immigrant older adults beginning in November. 

Humana plans to open eight new CenterWell clinics in Virginia in 2023 and 2024. 

October is a busy month for Medicare Advantage, with the beginning of open enrollment and CMS announcing plans' star ratings. 

U.S. News and World Report published its list of the top Medicare Advantage insurers in every state Oct. 20.