Payer

Health Partners Plans will rebrand as Jefferson Health Plans, beginning with its Medicare plans in 2024. 

Higher utilization is putting pressure on Medicare Advantage medical cost ratios and will likely continue through the end of 2023, executives from CVS Health and Humana told investors. 

Medica is expanding to seven counties in Illinois through a collaboration with Peoria, Ill.-based OSF Healthcare. 

Providers and public health experts are concerned that Medicaid redeterminations could hamstring efforts to combat the opioid epidemic, Politico reported Aug. 1. 

A large number of Medicaid enrollees, especially seniors, say their health plan has not reached out about how to renew coverage amid redeterminations, according to a new survey.

Humana posted a 38 percent increase in profits year over year and expects to exceed the industry's average Medicare Advantage growth rate this year, according to the company's second-quarter earnings released Aug. 2. 

Around 6 in 10 health plans have provider education in place to promote alternative options to costly GLP-1 drugs like Ozempic and Wegovy for obesity and diabetes treatment, according to a survey from diabetes management provider Virta Health. 

CMS is launching a new Medicare alternative payment model designed to help people with dementia remain in their homes and provide better support to their caregivers. 

Patients are more likely to receive cancer screenings in their first year of Medicare coverage than in previous years, a study from Epic Research found. 

UnitedHealth Group subsidiary UMR incorrectly denied emergency room and urinary drug screening claims for 'thousands," the U.S. Department of Labor alleges in a lawsuit filed July 31 in a Wisconsin federal court.