Navigation difficulties were cited as the top reason beneficiaries switched their health insurance plans, according to an Oct. 18 report from the professional services company Accenture.
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Humana and Boston-based Cohere Health are expanding their partnership again to enable a digitized prior authorization process nationwide for cardiovascular and surgical services.
About a third, or 31.6 percent, of the 57 Medicare Advantage plans that earned five stars from CMS in 2023 are a part of the Alliance of Community Health Plans, a trade group representing nonprofit payers.
Elevance Health has expanded its home-based nursing management company, myNEXUS, to Medicare Advantage members in 15 states, CEO Gail Boudreaux said Oct. 19 during a call with investors.
As North Carolina shifts its Medicaid system to managed care, Duke University Margolis Center for Health Policy researchers recommend the state integrates care for dual-eligible beneficiaries to the most comprehensive level possible.
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Congress and government regulators have the power to stop Medicare Advantage fraud, Richard Kronick, PhD, said in a letter to the New York Times.
CMS awarded fewer Medicare Advantage plans with five-star ratings for 2023 than in 2022. A total of 57 Medicare Advantage plans were granted top ratings this year, and some states have more options for top plans than others.
CMS awarded fewer Medicare Advantage plans with five-star ratings for 2023 than in 2022. A total of 57 Medicare Advantage plans were granted top ratings this year, and residents of New York and Ohio have the most options to choose from.…
Food insecurity is a key social determinant of health, linked to increased risk for chronic illness and negative impacts on mental health.
From winning California Medicaid contracts in five counties to the completion of its acquisition of a Medicaid managed long-term care business, here are six recent headlines about Molina Healthcare reported by Becker's since Aug. 26: