For years, health plans and provider organizations have been attempting to make value-based care work for them and their members. Yet for many, success has been elusive. Now, a new generation of technologies is helping advance value-based care by leveraging…
Payer
On average, Medicare Advantage beneficiaries have access to plans offered by eight different insurers, but in most counties, one or two companies control the majority of the market, according to an analysis from KFF. The vast majority of MA beneficiaries…
UnitedHealth Group has engaged in an “an aggressive and wide-ranging campaign” against several groups of critics following the murder of UnitedHealthcare CEO Brian Thompson in late 2024, The New York Times reported on July 12. Throughout this year, the company…
A new Medicare Advantage brand is launching, and insurers are shaking up longstanding commission structures in the program. Here are seven Medicare Advantage updates Becker’s has reported since June 24:
Employers should brace for a cycle of increasing healthcare costs, Alan Cohen, chief operating officer of Centivo, told Becker’s. With billions in Medicaid cuts looming, employers should expect more pressure on the commercial market, Mr. Cohen said. America’s Essential Hospitals…
New Jersey public employees are facing an up to 36.5% rise in health insurance premiums in 2026. The State Health Benefits Program for county and local employees could see costs rise 36.5%, school employees’ premiums could rise 29.7%, and state…
S&P Global Ratings is considering downgrading Centene’s credit rating to junk status. In a July 1 news release, the agency cited Centene withdrawing its 2025 earnings guidance as the driver for the potential downgrade. Centene’s Medicare, Medicaid and ACA businesses are…
Total risk adjustment payments in individual and small group insurance plans increased modestly in 2024, according to new data from CMS. The agency published its annual summary report of risk adjustment payments June 18. The risk adjustment program is designed…
UCare will withdraw from 11 counties in Minnesota where it offers Medicaid plans beginning in September through the end of 2025, the company said in a statement shared with Becker’s. The company made the “difficult decision” to withdraw from several…
President Donald Trump has signed the “One Big Beautiful Bill Act,” which includes major spending and policy changes for the Medicaid program and ACA markets. Jarrod McNaughton, CEO of Inland Empire Health Plan, wrote on LinkedIn on July 3 that…