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Medicare Advantage members could see $396 benefit cut in 2025
Medicare Advantage beneficiaries could see their supplemental benefits reduced or cost-sharing increase by $33 a month on average in 2025, according to an analysis from the Berkeley Research Group. -
Humana's plan to improve provider directory accuracy
Humana says new technology will help it maintain more accurate provider directories. -
UnitedHealth Group sets quarterly dividend
UnitedHealth Group's board of directors authorized a $1.88 per-share cash dividend to be paid on March 19. -
UnitedHealth Group cybersecurity incident not expected to affect ratings: Fitch, Moody's
UnitedHealth Group's Change Healthcare reported a cybersecurity incident Feb. 21 that disrupted connectivity and healthcare operations nationwide, but Fitch Ratings and Moody's are not expecting the event to affect UnitedHealth's ratings. -
What 3 recent studies found about Medicare Advantage
Recent research on Medicare Advantage has uncovered differences in the types of care and experiences Medicare Advantage enrollees report when compared to their peers in fee-for-service. -
CVS puts additional $35M behind affordable housing in Hawaii
CVS Health is providing an additional $35 million for affordable housing developments in Hawaii. -
CMS proposal could have 'catastrophic impact' on Medicare, Medicaid research
CMS is proposing raising prices and tightening access to Medicare and Medicaid claims data, changes academics fear could hinder health policy research, ProPublica reported Feb. 22. -
Medicare Advantage enrollees report more prior authorization delays
Medicare Advantage enrollees are more likely to report delays in care than their counterparts in traditional Medicare, according to a survey from the Commonwealth Fund. -
UnitedHealthcare: Employers should use SDOH data to improve employee health outcomes, costs
Where an employee lives and the social risk factors they face affects overall health outcomes — employers should be incorporating SDOH data when designing health benefits to improve employee outcomes, productivity and associated costs, according to a white paper published Feb. 21 by UnitedHealthcare and the Health Action Council. -
Meet Healthmap Solutions: Your Trusted Kidney Population Health Management Solution Provider
Chronic kidney disease (CKD) and end-stage renal disease (ESRD) are notoriously costly and complicated conditions to manage. -
OIG: Trinity's Medicare Advantage plan received estimated $3.7M in overpayments
MediGold, the Medicare Advantage subsidiary of Livonia, Mich.-based Trinity Health, received an estimated $3.7 million in net Medicare Advantage overpayments in 2017 and 2018, according to an audit from HHS' Office of Inspector General published Feb. 16. -
Medicaid programs embrace doula care
Thirteen states provide doula coverage through their Medicaid programs, and another 12 are in the process of implementing coverage, according to a report from the Elevance Health Public Policy Institute. -
Mississippi lawmakers push Medicaid expansion bill with work requirements
Mississippi lawmakers have introduced a bill that would expand Medicaid for an estimated 250,000 residents, ABC affiliate WAPT reported Feb. 19. -
3 Medicaid redetermination updates
Nearly 17 million people have been disenrolled from Medicaid since April 2023. -
Medicare Advantage enrollees receive less postacute care: Study
Medicare Advantage enrollees received less intensive postacute care than their counterparts in traditional Medicare, but did not have a significant change in short-term outcomes, a study published Feb. 16 in JAMA Health Forum found. -
Blue Cross Blue Shield in the headlines: 5 updates
From canceled acquisitions to contract challenges in court, these are five key updates about Blue Cross Blue Shield companies reported by Becker's in 2024: -
Top challenges, opportunities facing insurance industry in 2024, per 350 execs
Technology modernization and the alignment of investments with organizational goals, along with picking the right vendor to partner with, are top of mind for payer executives in 2024, according to a Jan. 30 survey published by digital solutions firm HealthEdge. -
Medicare Advantage in the headlines: 10 recent updates
It has been a busy few weeks for Medicare Advantage policy. CMS proposed a slight cut in benchmark rates, and payer executives were split on the impact of rising costs in the business. -
Payers ranked by Medicaid losses in 2023
Medicaid redeterminations began in April 2023, and all major payers have released their 2023 earnings, revealing which recorded the largest enrollment losses in the Medicaid market. -
Cigna to buy back $3.2B in stock
The Cigna Group is buying back $3.2 billion in common stock through accelerated repurchase agreements with Deutsche Bank and Bank of America, the company announced Feb. 15.
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