The Congressional Joint Economic Committee identified an additional $13.4 billion contributing to higher Medicare Part B premiums in 2025 due to Medicare Advantage overpayments, according to a March 10 report. The committee relied on Medicare Payment Advisory Commission estimates. Overpayments…
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The possibility of a state-based health insurance exchange in Mississippi is looking less probable, state Insurance Commissioner Mike Chaney told Mississippi Today in a March 10 report. “It might be too little, too late, because the dollars are not there…
Idaho Republican state lawmakers have introduced a bill to repeal Medicaid expansion, the Idaho Capital Sun reported March 9. Four things to know: 1. The proposed legislation would repeal Medicaid expansion on Jan. 1, 2028, removing about 90,000 Idaho residents…
L.A Care Health Plan is the largest Medicaid managed care organization in the U.S. with nearly 2.4 million enrollees, according to KFF. KFF used CMS data reflecting enrollment totals as of July 1, 2024 across the 42 states and Washington,…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Albany (N.Y.) Medical Center seeks an assistance director of system payer contracting. 2.…
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Following the annual enrollment period for 2026, 56.1 million people — up from 54.6 million in 2025 — are enrolled in Medicare Part D, which includes standalone prescription drug plans and Medicare Advantage plans with prescription drug coverage, as of…
Providence Health Plan recorded a $102 million net loss in 2025, driven by rising medical and pharmacy utilization and a drop to a 3.5 Medicare Advantage star rating, but the Oregon-based health plan is projecting a return to financial stability…
Texas emerged as a standout in the 2026 ACA open enrollment period, attracting about 206,000 new enrollees — the highest in the country — according to preliminary data published Jan. 28 by CMS. Meanwhile, nationwide enrollment fell to nearly 23…
Medicare beneficiaries had about 60 million telehealth visits per year between 2021 and 2023, according to a February study published in Annals of Internal Medicine. Co-author and University of Utah assistant professor Terrence Liu, MD, broke down the findings March…
The Republican-controlled House Committee on Energy and Commerce sent letters March 3 to ten states — California, Colorado, Massachusetts, Maine, Nebraska, New York, Oregon, Pennsylvania, Vermont and Washington — requesting information on fraud, waste and abuse, as well as integrity…