CMS has toughened its oversight on celebrity Medicare Advantage sales pitches following a surge of complaints last year, The Wall Street Journal reported Aug. 31.
Payer
A $60 million administrative services deal between Oscar Health and Health First Health Plans has been canceled, effective Jan. 1.
In the first six months of 2022, Pittsburgh-based Highmark Health has reported losses of $174 million and a $460 million decline in its investments, according to the company's financial results released Aug. 30.
From Molina failing to quickly pay providers to Centene settling with an 11th state over allegations it overbilled Medicaid programs, these are six recent fines levied against payers by states:
A video of a woman vomiting in the parking lot of an Anthem Blue Cross Blue Shield office in Los Angeles has gone viral across social media after the payer denied her coverage of treatment for a stomach condition.
Philadelphia-based managed care organization Health Partners Plans is partnering with Fabric Health for outreach at five laundromats in the city, Philadelphia Business Journal reported Aug. 29.
Medicare Advantage plans are expected to make up half of all Medicare enrollment by 2026, with the national average currently at 45.5 percent. Some states, however, are lagging behind the rest of the country.
Bright Health Group has told Florida regulators there is "substantial doubt" the company can remain financially viable without additional outside investment, the Star Tribune reported Aug. 25.
From its CFO being added to a class-action lawsuit, to acquiring a Medicare health insurer in Houston, here are six headlines about UnitedHealth Group since Aug. 1:
Cigna will offer health plans on the individual ACA marketplace in three new states and will expand its offerings in three other states for the 2023 coverage year.
