Payer

As budget fights continue in the nation's capital over funding of public insurance programs like Medicare and the ACA, work requirements for Medicaid have once again resurfaced in potential proposals.

Medicare Advantage enrollment is on the rise, but the pace of growth slowed in 2022. As enrollment climbs, CMS is considering a slew of policy changes, which some groups say could cut benefits. 

Blue Cross Blue Shield of Michigan reported a $777 million loss for 2022, driven in part by the ongoing cost of the COVID-19 pandemic and pricing pressures in Medicare Advantage. 

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.