Alaska saw the highest growth rate in Medicare Advantage of any state in 2025, according to a new analysis published by consulting firm Chartis. The report, published March 25, analyzed MA enrollment data from CMS. Overall, national MA enrollment grew…
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A new report analyzing healthcare spending trends within New York City’s employee health plan says there are significant gaps in data because Anthem Blue Cross reportedly refused to release complete pricing information. New York City spends more than $11 billion…
Highmark Health Plans is growing faster in the Philadelphia market than its executives expected, the Philadelphia Business Journal reported March 21. Pittsburgh-based Highmark expanded to Philadelphia in 2024 and added 70,000 commercial and individual members in the market that year,…
Massachusetts officials are preparing a plan in case Commonwealth Care Alliance shuts down due to financial issues, the Boston Globe reported March 19. Boston-based CCA has about 50,000 members and predominantly serves individuals dually eligible for Medicare and Medicaid. The…
The Trump administration has proposed a shortening of the ACA enrollment period and the implementation of eligibility verification checks under fully subsidized plans each year. Enrollment in the ACA marketplace reached a record high of 23.6 million in 2025, spurred…
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The first grand opening of a CenterWell Senior Primary Care clinic located next to a Walmart will take place March 26 in Gladstone, Missouri. The new clinic officially opened and began accepting new patients in late 2024, according to a…
North Carolina lawmakers introduced legislation March 18 aimed at reforming the approval process for prior authorizations. The bill would require payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It would…
Optum Rx, the pharmacy benefit manager under UnitedHealth Group, will remove prior authorization requirements for approximately 80 prescription drugs, aiming to streamline access for patients with chronic conditions. The policy change is expected to cut reauthorizations by 25%, accounting for…
Molina Healthcare President and CEO Joseph Zubretsky earned $21.9 million in 2024. The company reported the earnings of its top executives in its annual proxy report published March 17. Joseph Zubretsky, President and CEOSalary: $1,600,000Stock awards: $16,200,092Non-equity incentive plan compensation:…
The federal government is expected to spend $80 billion more on Medicare Advantage beneficiaries in 2025 than if these beneficiaries were enrolled in fee-for-service plans, and UnitedHealth Group scored a major legal victory in a case alleging the insurer overcharged…