Payer

An in-home care program helped Independent Health reduce preventable hospital admissions, readmissions and emergency room visits, The Buffalo News reported Jan. 11. 

CVS Health CEO Karen Lynch said the company is "disappointed" in its recent Medicare Advantage open enrollment numbers. 

Enrollments in ACA exchange plans are up 13 percent from this time last year. 

Optum is hiring 575 employees from Owensboro (Ky.) Health and will begin managing the company's revenue cycle operations and IT services.

At least 5 million uninsured people are eligible for premium-free plans on the ACA exchange, according to a new analysis from Kaiser Family Foundation published Jan. 10. 

CareFirst BCBS and Live Chair Health are partnering on healthcare access for Medicaid members, focusing particularly on closing social determinants of health gaps in Baltimore and other parts of Maryland.

Insurance brokers, dealers and partners buy the majority of online Medicare Advantage advertising. 

Humana is boosting its outlook for Medicare Advantage members in 2023, while preparing to shut down its SeniorBridge home care facilities. 

Medicaid redeterminations will begin on April 1, and CMS has released guidance on how states can work with managed care plans to prepare for the return to regular eligibility and enrollment operations. 

Before 2006, Medicare Advantage in its current form didn't exist. Now, the public-private program has more enrollees than traditional Medicare — how did it get here?