Payer

California's reversal on its Medicaid managed care contracts has left industry insiders and consumer advocates questioning if the state will stick to its intention to reform Medi-Cal, California Healthline reported Jan. 26. 

Most people who are disenrolled from Medicaid are enrolled in some kind of other health coverage within 12 months, according to an analysis by the Kaiser Family Foundation published Jan. 25. 

Elevance Health is expanding its business in 2023, predciting 400,000 new members and acquiring BCBS Louisiana. 

CMS said Jan. 25 that a record 16.3 million people enrolled in ACA marketplace coverage during the open enrollment period from Nov. 1, 2022 to Jan. 15, 2023.

Florida had the largest number of ACA exchange plan sign ups for 2023, according to new data from CMS. 

Humana plans to open 10 primary care clinics in the Dallas-Fort Worth, Texas, area in 2023, part of a major expansion of the older-adult-focused primary care clinics. 

Substance use disorders among adults with employer-sponsored insurance cost payers $35.4 billion each year, a study from CDC researchers found. 

Elevance Health reported double-digit revenue growth and beat investor expectations in 2022, but posted a slight dip in profits year-over-year, according to the company's fourth quarter earnings report published Jan. 25.

From releasing its fourth-quarter earnings to being investigated by the U.K.'s Competition and Markets Authority, here are eight stories about UnitedHealth Group that Becker's has reported since Jan. 13:  

The overall insured rate in the U.S. rose between 2019 and 2021, with some cities and counties far outpacing the national average growth in the insured rate of .7 percentage points, according HHS data.