Payer

Lawmakers are urging increased oversight of incentives offered to brokers selling Medigap plans, The New York Times reported March 1. 

CMS' decision to crack down on Medicare Advantage auditing could have done more to stop overpayments, professors and students of public health wrote in Health Affairs. 

Alignment Healthcare surpassed 100,000 members earlier this year and reported its fourth quarter earnings Feb. 28.

More insurance brokers said they would enroll in traditional Medicare over Medicare Advantage, according to a report published Feb. 28 by the Commonwealth Fund.

Bright Health Group reported a net loss of $668.6 million in the fourth quarter of 2022 and shed doubt about the company's future ability to continue operating. 

The top 10 Medicaid-focused startups have raised $1.5 billion combined in venture funding, according to a Feb. 27 report published in Health Affairs, citing PitchBook.

The top 10 Medicare Advantage-focused startups have raised more than $20 billion combined in venture funding, according to a Feb. 27 report published in Health Affairs, citing PitchBook.

Humana will price a $1.25 billion senior note offering, the company's second senior note offering since November. 

CMS has launched more than 50 savings model programs since the agency's innovation center was created in 2010, according to the Center for Medicaid and Medicare Innovation's 2022 Report to Congress. 

Clover Health improved on its loss margins in 2022, posting a $84 million loss in the fourth quarter of 2022, down from a $187.2 million loss in the fourth quarter of 2021.