Over one-half of eligible Medicare beneficiaries are enrolled in Medicare Advantage plans this year, according to KFF. Given that enrollment and recent scrutiny, all eyes are on how the private alternative to traditional Medicare gets paid. A Nov. 20 KFF…
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Vermont has the highest average ACA benchmark premium in 2026, while New Hampshire has the lowest, according to KFF. The U.S. average is $625. Premiums were analyzed using the second-lowest cost silver plan premium for a 40-year-old in each county…
Obesity treatment is entering a transformative era — and few therapies have garnered more attention or raised more questions than GLP-1 receptor agonists. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, Lia Gass Rodriguez, MD, chief medical…
Wyoming’s proposal to CMS for the Rural Health Transformation Program included a pitch for “BearCare,” a state-operated public benefit plan to cover severe emergencies. Among them, bear attacks. Unlike other federal relief initiatives, the Rural Health Transformation Program is a…
Blue Cross of Idaho requested the Idaho Department of Insurance investigate Nutex Health after months of failed negotiations with Nutex’s Post Falls (Idaho) ER & Hospital, according to a Nov. 17 news release. The insurer expressed concern over the hospital’s…
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Health plans are no longer treating interoperability as a check-the-box requirement; they are embracing it as a driver of strategic transformation. That was the core message from a featured session at Becker’s Fall 2025 Payer Issues Roundtable, where a panel…
The Cigna Group is consolidating its board committee structure, dissolving its standalone compliance committee and redistributing oversight responsibilities across other committees, effective Jan. 1. The board approved the changes in late October, according to an SEC filing. The restructuring follows…
Centene is putting its money where its mouth is when it comes to individual coverage health reimbursement arrangements. The managed care giant is transitioning more than 700 Indiana-based employees to ICHRA in 2026, becoming one of the most notable endorsements…
AI continues to hold promise for transforming healthcare operations, but realizing that potential requires more than plug-and-play solutions. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, leaders from Raport and Precision Medicine Diagnostic Partners explored what it…
A federal jury in Florida has convicted an insurance brokerage president and the CEO of a marketing company for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. The scheme…