Payer

CMS is terminating Park Ridge, Ill.-based Clear Spring's Medicare prescription drug plan at the end of 2024 following three consecutive years of star ratings below three stars.

Consumers rate their satisfaction with health insurers higher than with hospitals, according to the American Customer Satisfaction Index. 

Health Care Service Corp., the parent company of Blue Cross Blue Shield of Illinois, is facing a potential class action complaint alleging the payer intentionally discriminates against LGBTQ members by imposing out-of-pocket costs in order to qualify for fertility benefits,…

CVS Health is one company backing Medicaid startup Waymark through its participation in a $42 million financing round. 

Elevance Health is expecting to lose around $500 million in revenue in 2025 as a result of declining Medicare Advantage star ratings, CEO Gail Boudreaux said. 

Humana is expanding its co-branded Medicare Advantage plans with USAA. 

LTC ACO, an accountable care organization for long-term care residents, will be a strategic sponsor of the Foundation for Post-Acute and Long-Term Care. 

Marketing and broker incentives are putting smaller insurers at a disadvantage when it comes to competing with big Medicare Advantage payers, Security Health Plan CEO Krista Hoglund told lawmakers. 

CMS rules cracking down on Medicare Advantage advertising are a start, but there's more to be done to stop misleading marketing and aggressive sales tactics in the program, lawmakers and advocates said. 

Nearly 153 million Americans rely on employer-sponsored health coverage, and costs are on the rise for both workers and employers.