Consulting groups and organizations are issuing their predictions for healthcare costs in 2026. And so far, they appear steep. Here is a roundup of what these groups are saying: Multiple surveys said employers are pointing to chronic and high-cost conditions,…
Payer
New Hampshire’s insurance commissioner is warning that some seniors in the state will have little to no access to Medicare Advantage in 2026 as insurers exit the market, the New Hampshire Union Leader reported Sept. 10. “From what I am…
Managed care organization Magellan Health, part of Centene, has appointed Steven Pratt, MD, as chief medical officer, according to a Sept. 10 news release. Dr. Pratt, a psychiatrist, will further the company’s clinical mission and engagement in his new role.…
Amid a wave of health systems dropping Medicare Advantage plans over administrative and reimbursement issues, the Medicare Payment Advisory Commission has found no “statistically significant change in hospital profit margins” due to growing enrollment in Medicare Advantage plans, according to…
An estimated 450,000 New Yorkers will lose zero-premium comprehensive health insurance amid the One Big Beautiful Bill Act’s cuts, according to a news release from the New York State Department of Health and a statement from Democratic Gov. Kathy Hochul.…
Advertisement
A federal judge in Minnesota has denied UnitedHealth Group’s request to narrow the scope of discovery in an ongoing lawsuit that accuses the insurer of using artificial intelligence to wrongfully deny Medicare Advantage members post-acute care. The case, filed in…
CVS Caremark will pay $32.1 million to the state of Oklahoma after the pharmacy benefit manager allegedly held back savings from the state’s employee health plan, according to a Sept. 9 news release from Oklahoma Attorney General Gentner Drummond. The…
UnitedHealth’s Rocky Mountain HMO and Elevance Health’s Anthem HMO Colorado have withdrawn their plans to end coverage for multiple health plans in the state’s individual market following legislative action in the Colorado General Assembly. Both companies will continue services in…
Patients’ high demand for behavioral health services since the pandemic is no secret, but Bill Harlan — vice president of behavioral health and health engagement of Canton, Mass.-based Point32Health — said the insurer’s provider partners have also faced challenges, like…
With its second Program of All-Inclusive Care for the Elderly center now open in South Los Angeles, SCAN Group is pressing ahead with a care model that faces steep regulatory challenges. The new 33,000-square-foot facility in Compton will provide low…