Nonprofit Medicare Advantage plans added 200,000 members for 2025, according to an analysis from Chartis. The healthcare consulting group published a March 25 report analyzing Medicare Advantage enrollment data from CMS. Non-Blue Cross Blue Shield nonprofit plans accounted for around…
Payer
Anthem Blue Cross has agreed to provide New York City with additional data after city officials claimed they could not provide a complete picture of the city’s healthcare spending. New York City Council Member Julie Menin and Anthem reached an…
Population Behavioral Health: A National Movement to Add Early Intervention to Clinical Care
Our country is facing a national mental health crisis. About half of the U.S. population will experience a major mental health issue during their lifetime, and approximately 20% of the population has a diagnosable mental health condition in any given…
Elevance Health CEO Gail Boudreaux earned $20.5 million in total compensation in 2024. The company disclosed compensation data for its highest-paid executives in its annual report, published March 28. Ms. Boudreaux earned less than she did in 2023 and 2022.…
Centene has fired Mark Sanders, CEO of its Texas subsidiary, after he told state lawmakers he hired private investigators to dig up information about members, lawmakers and journalists, The Dallas Morning News reported March 27. “Following the hearing, Centene immediately…
Centene CEO Sarah London earned $20.6 million in total compensation in 2024. The company published compensation data for its five highest-paid executives in its annual proxy report on March 27. Ms. London’s compensation increased 11% from 2023, when she was…
The California Public Employees’ Retirement System is accusing UnitedHealth Group of securities fraud related to its Medicare Advantage billing practices. The class action, first filed in May 2024 and amended March 21, alleges that UnitedHealth misled investors about its operations,…
Enrollment in provider-sponsored Medicare Advantage plans declined by nearly 60,000 members for 2025, according to a report from Chartis. The healthcare consulting firm published an analysis of CMS Medicare Advantage enrollment data March 25. Overall, Medicare Advantage plans gained 1.3…
The Tennessee Supreme Court has ruled in favor of BlueCross BlueShield of Tennessee in a case involving the termination of an employee who emailed state legislators opposing the company’s COVID-19 vaccine mandate. On March 26, the court reversed a lower…
Medicaid managed care insurers received at least $4.3 billion in duplicate payments for beneficiaries enrolled in multiple states between 2019 and 2021, The Wall Street Journal reported March 26. In many cases, Medicaid beneficiaries move to another state, but do…
