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11 private equity-backed Medicare Advantage companies
Most private investments in the Medicare Advantage space go to companies specializing in marketing and selling MA plans, according to a Feb. 13 report from the Private Equity Stakeholder Project. -
Health insurance may have a looming climate change problem
It's no secret that climate change is already affecting insurance markets in places like Florida — but the health insurance industry could be the next to face rising coverage costs as a result of a warming planet, The Wall Street Journal reported Feb. 14. -
Two big payer deals break up
Two proposed payer deals have been called off in the face of scrutiny from state officials. -
CVS' Aetna expands into home kidney care
CVS' Aetna will begin offering in-home care services to its Medicare Advantage members with chronic kidney disease. -
5 prior authorization updates
From New Jersey signing the nation's most comprehensive reform bill into law, to Inova outlining challenges to the CMS administrator, here are five updates on prior authorization that Becker's has reported since Jan. 26: -
Humana sued over Medicare Advantage 340B payments
Montgomery, Ala.-based Baptist Health is suing Humana, alleging the insurer's Medicare Advantage plan underpaid the hospital for drugs purchased through the 340B program. -
UnitedHealth in the headlines: 12 updates
From its president and COO announcing his retirement plans to an upheld win in a facility fee case, here are 12 updates on UnitedHealth Group that Becker's has reported since Jan. 18: -
Cigna adds HelloFresh benefits for employers
Cigna will offer discounted access to meal kit service HelloFresh to employers. -
Fewer private equity dollars flowing to Medicare Advantage
Facing rising interest rates and regulatory scrutiny, private equity investments in the Medicare Advantage space are slowing down, according to the Private Equity Stakeholder Project. -
FTC obtains $195M judgment against Florida payer, imposes healthcare ban over 'bogus' product
The FTC has obtained a $195 million judgment in a Florida federal court against Simple Health Plans and its CEO Steven Dorfman for selling and enrolling members in "sham" health plans that "effectively left consumers uninsured and exposed to limitless medical expenses." -
4 Medicaid expansion updates
From Georgia suing the Biden administration to extend the state's partially expanded program to a Florida group launching a ballot initiative, here are four state Medicaid expansion updates Becker's has reported since Feb. 2: -
Kaiser Permanente reports health plan membership decline
Kaiser Permanente reported a decline in health plan membership, driven by slowed job growth. -
Will insurers cut back on Medicare Advantage extras?
Challenges in the Medicare Advantage market may force insurers to cut back on extra benefits like vision and dental in 2025, The Wall Street Journal columnist David Wainer wrote Feb. 11. -
BCBS plans ranked by profit margin in Q3
Elevance Health had the largest profit margin in the third quarter of 2023 among the leading Blue Cross Blue Shield companies, according to a February analysis by Mark Farrah Associates. -
6 insurers, 6 opinions on rising Medicare Advantage costs
Every major insurer has reported that Medicare Advantage costs are going up. -
Medicare Advantage AI under more fire in Washington
New guardrails for Medicare Advantage plans' use of AI may not be clear enough, experts told members of the Senate Finance Committee. -
Payers ranked by total membership | Q4 2023
UnitedHealthcare ended 2023 with the largest total membership of large payers across Medicare, Medicaid, military, commercial and individual business. -
Payers ranked by Medicare Advantage membership | Q4 2023
UnitedHealthcare is still the largest Medicare Advantage insurer in the U.S. -
Humana study builds on health literacy efforts
Asking Medicare Advantage members a single question over the phone can help determine their health literacy status, a study from Humana published in the American Journal of Managed Care Feb. 7 found. -
Payers ranked by medical loss ratios in 2023
The nation's largest payers have filed their fourth-quarter earnings reports, revealing how medical loss ratios changed year over year.
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