Payer

Several Medicare Advantage plans will scale back their offerings in 2025. 

Most Medicare enrollees do not compare plans during open enrollment, according to a report from KFF. 

HHS' Office of Inspector General has published audits of four Medicare Advantage plans in the past two months. 

University of Vermont Health Network and MVP Health Care will no longer offer their joint Medicare Advantage plan in Vermont in 2025. 

Blue Cross Blue Shield of Massachusetts boasts one of the highest-quality health plans in the nation, beating out more than 1,000 other products across every insurance market.

Subsidiaries of Aetna and Humana received millions in Medicare Advantage overpayments in 2017 and 2018, the HHS Office of Inspector General alleged in audits published Sept. 25. 

Startup Medicare Advantage plan Zing Health has raised $140 million in funding. 

Centivo, a Buffalo, N.Y.-based health plan administrator for self-insured employers, has secured $75 million in equity and debt financing.

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Throughout October, we’ll see splashes of pink all around us. Professional athletes will don pink socks and pink ribbons will line streets during neighborhood 5Ks.