Payer

Newly released audits show Medicare Advantage plans overbilled the federal government by millions between 2011 and 2013, with some plans overbilling an average of more than $1,000 per patient per year, Kaiser Health News reported Nov. 21. 

Georgia is moving forward with a limited Medicaid expansion plan that includes work requirements, Capitol Beat News Service reported Nov. 18.

Centene holds the largest share of the ACA exchange market in the U.S., at 15 percent, according to a study from the American Medical Association. 

Over 70 percent of Medicare Advantage members receive meal benefits as part of their plan, according to an analysis from Kaiser Family Foundation. 

Here are five startups that have received backing from payers this year: 

Medicare Advantage open enrollment is underway, and plans are adding more services for members. Some plans have expanded geographic areas, while others have pulled out of markets. 

More payers are combining customer service and community support in one place, opening centers in the communities they serve. 

More Medicare Advantage plans will offer in-home support services to enrollees in 2023, according to a new report from the Better Medicare Alliance. 

The No Surprises Act has prevented 9 million surprise medical bills since January, according to new data from AHIP and the Blue Cross Blue Shield Association. 

Through a comprehensive strategy, Regence has achieved a 95 percent adoption rate of biosimilars among its 3.4 million members.