Recent studies examined how Medicare Advantage beneficiaries use hospice care and dental benefits, as well as the reasons behind differences in diagnosis coding between traditional Medicare and MA enrollees.
Payer
UnitedHealth Group is the world's largest insurer by net premiums written for a 10th year in a row, according to AM Best's annual ranking published Jan. 2.
Florida Blue is the latest insurer to sue CMS over its Medicare Advantage star ratings.
L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF.
For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can help payers and other stakeholders manage their drug formulary more efficiently. While several classification resources are…
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The majority of health plan executives are focused on growth and have a favorable outlook for 2025, according to a Dec. 12 survey from the Deloitte Center for Health Solutions.
Humana welcomed a new CEO in 2024 amid rising Medicare Advantage costs.
Elevance Health added several acquisitions in 2024.
The year 2024 proved to be a pivotal and tumultuous period for the health insurance industry, defined by the shocking murder of UnitedHealthcare's CEO and the largest cyberattack in the sector's history. Legal and regulatory battles over Medicare Advantage, significant…
HHS' Office of Inspector General estimated three Medicare Advantage insurers received around $11.4 million in overpayments.