Payer

As Medicaid redeterminations loom, some states are looking to complete the process as quickly as possible.

While other large health insurers are not expected to join Humana's exit from the commercial market in the short term, the government market may be increasingly attractive, Bloomberg Law reported Feb. 27. 

Special needs plans, Medicare Advantage plans for individuals with chronic or disabling conditions, are growing faster than the general MA program. 

The National Grocers Association, which represents independent supermarkets, says payers' health benefits programs are excluding independent grocers and their customers.

Humana is projecting to add at least 775,000 new Medicare Advantage members in 2023. 

Medicare can financially survive using strategies that cut costs in 1997, two prominent Republicans wrote in an op-ed published Feb. 23 in the Wall Street Journal. 

Beyond federal price transparency rules, there are more transformative policies that could be implemented to create a shoppable and consumeristic environment in healthcare, according to Harvard Business Review analysts.

The federal government will soon allow states to use Medicaid funds to treat substance use and mental illness in jails and prison, The Philadelphia Inquirer reported Feb. 21.

Aetna is bolstering its network in North Carolina ahead of its takeover of the state's health plan for public employees. 

Humana said Feb. 23 it plans to exit the commercial group market to focus on its government-sponsored business.