Payer

The Medicaid disenrollment rate for reporting states as of Sept. 8 ranges from 72 percent in Texas to 9 percent in Michigan, according to KFF. 

L.A. Care Health Plan has agreed to pay a $1.3 million settlement and to implement a corrective action plan to resolve allegations that it violated HIPAA regulations.

Humana is challenging a rule from CMS that could leave insurers on the hook for billions in repayments, and new HHS research reveals most growth in the program is fueled by people switching from traditional Medicare. 

UnitedHealthcare offers the best Medicare Part D prescription drug plan in 2023, according to a ranking published Sept. 8 by Forbes Health.

Former employees with BlueCross BlueShield of Tennessee say their religious rights were violated by the payer after they were terminated for refusing to be vaccinated against COVID-19, according to a class action lawsuit filed Sept. 7 in a Tennessee federal…

Life Time, a gym chain with over 150 locations nationwide, will limit the hours members who receive their memberships through Medicare benefits can use the fitness clubs. 

A judge denied Prisma Health's request for a temporary restraining order preventing UnitedHealthcare from disclosing details about contract negotiations to the press. 

Aledade, a network of independent primary care providers, and Florida Blue's ACO has resulted in millions in shared savings for participating providers and improved health outcomes for 41,000 members in the program's first two years.

Highmark's value-based reimbursement program for primary care physicians, True Performance, has saved more than $3 billion in avoided cost savings in Pennsylvania, Delaware and West Virginia since its launch in 2017.

Medicare Advantage enrollment is growing faster in rural and micropolitan areas than in metropolitan areas, according to an analysis from KFF published Sept. 7.