Bend, Ore.-based St. Charles Health System is considering dropping all Medicare Advantage plans and is encouraging its senior patients not to enroll in the private Medicare plans during the next open enrollment period.
Payer
A New York State Supreme Court judge has permanently blocked the implementation of New York City's plan to switch 250,000 retired city employees from traditional Medicare to an Aetna Medicare Advantage plan.
Former employees with UnitedHealth Group's Optum and its subsidiaries have taken to social media in August regarding an unknown number of layoffs they say are occurring across the company.
Medicare Advantage plans are set to receive $12.8 billion in bonus payments from CMS in 2023, and representatives are introducing new legislation aimed at reforming prior authorization in the program.
A House bill has been introduced that aims to alleviate staffing shortage at state Medicaid agencies so beneficiaries do not lose coverage due to procedural issues during the redetermination process.
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From lawmakers unveiling gold-card legislation to UnitedHealthcare detailing plans to cut 20 percent of requirements, here are six prior authorization updates Becker's has reported since July 26:
Health Care Service Corp., the parent company of BCBS Illinois, Montana, New Mexico, Oklahoma and Texas, is expanding Medicare plans to 99 additional counties next year, pending regulatory approvals.
HHS is urging states to do more to improve Medicaid call center wait times, rates of procedural terminations and application processing times.
Officials in three states are pushing back on payers looking to raise members' premiums in 2024.
UnitedHealth Group has the potential to reach a market value of $1 trillion by 2030, according to an Aug. 10 financial report from the Motley Fool.