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Medicare Advantage in the headlines: 9 recent updates
Several new studies uncovered differences between Medicare Advantage and fee-for-service, and CMS is calling on Medicare Advantage organizations to extend advanced funding to providers affected by the Change Healthcare outage. -
Washington state fines Molina Healthcare for enrollment, billing errors
The Washington state insurance commissioner's office fined Molina Healthcare of Washington $100,000 for enrollment and billing errors. -
Medicare Advantage beneficiaries receive fewer days of at-home care: Study
Medicare Advantage beneficiaries received less at-home care than their counterparts in fee-for-service Medicare, a study published March 1 in JAMA Health Forum found. -
Inside Highmark's Change attack response
Highmark Health has launched an advance funding program for providers struggling with cash flow in the wake of the Change Healthcare attack. -
5 prior authorization updates
From HHS asking insurers to pause prior authorizations in the wake of the change Healthcare cyberattack to a report finding that Medicare Part D plans have ramped up restrictions on prescription drugs, here are five updates on prior authorization Becker's has reported since Feb. 15: -
Humana's top execs could collectively make $75M if M&A deal occurs
Humana's top executives could collectively be paid more than $75 million if they leave the company or a change in control occurs, according to regulatory documents filed with the SEC on March 8. -
White House urges UnitedHealth CEO to do more in wake of Change attack
Officials with the Biden administration met with UnitedHealth Group CEO Andrew Witty on March 12, urging the company to provide more emergency funding to healthcare providers facing significant financial disruptions from a cyberattack on its subsidiary, Change Healthcare, people familiar with the meeting told The Washington Post. -
9 states that could see more Medicare Advantage dollars in 2025
Medicare Advantage beneficiaries in a few states could see increased supplemental benefits or reduced cost sharing in 2025, according to estimates from Berkeley Research Group. -
Why primary care may cost less in Medicare Advantage
Selective contracting with primary care physicians may be one factor behind lower per-patient expenses in Medicare Advantage, a study published in the March edition of Health Affairs found. -
UnitedHealth Group in the headlines: 12 updates
From the fallout of the Change Healthcare cyberattack to the Justice Department reportedly beginning an antitrust investigation into the company, here are 12 stories involving UnitedHealth Group that Becker's has covered since Feb. 22: -
HHS to UnitedHealth, payers: Help providers with cash flow following Change attack
The federal government is urging UnitedHealth Group and other insurers to address cash flow issues among providers facing an absence of timely payments following the cyberattack on Change Healthcare in February. -
Aetna, Humana, Elevance sign on to Biden's cancer coverage proposal
Seven insurers have pledged to cover navigation services for cancer and other serious illnesses. -
Part D plans ramp up prior authorization
Medicare Part D plans have ramped up restrictions on prescription drugs since 2011, a study published in the March edition of Health Affairs found. -
Fastest growing Medicare Advantage startup plans | 2024
Enrollment in Medicare Advantage startup plans grew 18% from 2023 to 2024, according to a March 5 analysis from Chartis. -
5 things to know about Cigna's '1st of its kind' GLP-1 program
The Cigna Group has launched EncircleRx, a program aimed at helping employers control the cost of GLP-1 drugs for weight-loss. -
UnitedHealth details Change attack recovery timeline: 5 updates for payers
UnitedHealth Group detailed a timeline March 7 for restoring key Change Healthcare systems following the unprecedented cyberattack on the company in late February. -
Louisiana lawmakers look to make a future BCBS sale more difficult
Three weeks after a halted merger between BCBS Louisiana and Elevance Health, two Louisiana state lawmakers have filed bills that would make it more difficult for nonprofit insurers, (such as BCBS Louisiana) to reorganize into a for-profit organization that could then be sold, nola.com reported March 5. -
3 BCBS companies reporting losses in 2023
Some Blue Cross Blue Shield plans are reporting year-end financial losses due to ongoing trends such as rising utilization in the Medicare Advantage space and growing demand for weight loss drugs. -
How 4 major payers have been affected by Change Healthcare attack
Payers are reporting significant reductions in the volume of claims they receive from providers following the ransomware attack on Optum's Change Healthcare in late February, but the effect on prior authorization processes has been limited. -
The states where most Medicare beneficiaries have Medicare Advantage plans
Twenty-six states now have more than half of their Medicare enrollees in Medicare Advantage plans, according to a March 5 report from Chartis, a healthcare advisory services firm.
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