Differential coding practices led to a significant increase in Medicare Advantage risk scores and an estimated $33 billion in additional payments to plans in 2021, according to a March study published in the Annals of Internal Medicine. The study analyzed…
Payer
From UnitedHealthcare planning to cut prior authorization by 10% in 2025 to a congressman reintroducing reform legislation on, here are nine prior authorization updates that Becker’s has reported on since March 3: 1. Rep. Mark Green, MD, of Tennessee reintroduced…
CMS proposed a major payment boost for Medicare Advantage plans but declined to take up new regulations around AI and GLP-1 drugs. Here are 10 Medicare Advantage updates Becker’s has reported since March 18.
Around one-quarter of small businesses that purchased health insurance in 2022 discontinued coverage in 2023, according to a report from JPMorganChase. The bank published a report on the consistency of health insurance coverage among small businesses April 10. Among small…
From selling its Medicare Advantage business to shuffling its executive lineup, here are seven updates on Cigna that Becker’s has reported since March 13. 1. Cigna Healthcare offers the best digital experience to commercial members, according to J.D. Power’s 2025…
Advertisement
Google Ads may have accessed some protected health information of Blue Shield of California members, the company disclosed April 9. According to the notice, Blue Shield learned Google Analytics was configured on its websites in a way that allowed certain…
Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported on since March 3: 1. A New York federal judge dismissed an antitrust lawsuit against UnitedHealthcare and MultiPlan that alleged the companies conspired to reduce reimbursement…
Florida lawmakers are raising concerns about the legality of a $10 million donation from Centene to a nonprofit associated with Gov. Ron DeSantis, the Tampa Bay Times reported April 9. According to the report, Centene’s $10 million donation in September…
Sutter Health and SCAN Group are collaborating on new Medicare Advantage products in Northern California for 2026 and will launch a new joint venture MA plan in the near future. Sacramento-based Sutter and Long Beach-based SCAN aim to develop new…
Medicaid enrollees in Maine have the highest prevalence of disabilities, while those in California have the lowest, according to KFF. The ranking is based on 2023 American Community Survey data about the noninstitutionalized population who reported receiving Medicaid benefits and…