Almost 35.5 million people were enrolled in a Medicare Advantage plan as of Feb. 1, up about 3% from 34.4 million at the same time last year, according to CMS data analyzed by Becker’s. Growth during the annual enrollment period…
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Oklahoma will transition away from the federal ACA marketplace platform and launch a state-based exchange for 2028 coverage. Currently, 20 states and Washington, D.C. operate state-based exchanges, according to CMS. Oklahoma residents will continue to use HealthCare.gov to enroll in…
AmeriHealth Caritas is dropping its pharmacy benefit manager business, PerformRx, and transitioning to Optum Rx instead, the insurer confirmed to Becker’s Feb. 17. AmeriHealth Caritas is moving away “after a multiyear review” of PBM options. PerformRx will wrap operations “in…
In a Feb. 11 budget proposal, Gov. Gretchen Whitmer laid out how she plans to secure $780.4 million to stabilize Medicaid. Ms. Whitmer is aiming to bring in $232 million from tobacco, $73.6 million from vaping and non-tobacco nicotine products,…
Cigna’s Evernorth has partnered with Direct Relief to create a donation pathway that routes unused prescription medications from pharmacies directly to disaster response efforts. Express Scripts donated more than 41,000 prescription medications as an initial supply, the company said in…
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Pennie, Pennsylvania’s ACA marketplace, saw about 1 in 5 users drop healthcare coverage in the wake of enhanced premium tax credits expiring, according to a Feb. 9 news release. Pennsylvania was among a handful of states to extend its open…
When San Diego-based Scripps Health walked away from nearly all of its commercial Medicare Advantage contracts Jan. 1, 2024, the move drew widespread attention across the industry. Medicare Advantage enrollment was still climbing nationally and many health systems were doubling…
Texas Attorney General Ken Paxton is investigating BCBS Texas and business services provider Conduent in the wake of a data breach, according to a Feb. 12 news release. The breach spanned Oct. 21, 2024, through Jan. 13, 2025. Names, birthdates,…
A handful of insurers are boasting Medicare Advantage membership gains following the annual enrollment period. Annual enrollment ran from Oct. 15 to Dec. 7, setting the stage for 2026 numbers. However, despite membership growth among some carriers, the Medicare Advantage…
Ten states have still not expanded Medicaid under the ACA. If those states were to move toward expansion, 2.3 million people would secure health insurance coverage. While Medicaid expansion has long been a possibility, there is still some room for…