Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
1208 signals
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Here’s how much insurers are cutting Medicare Advantage plans for 2027
Newly released CMS data gives the market its first comprehensive look at how insurers are adapting to continued pressure in the privatized Medicare program. A press release stressing “stability” didn’t soften the blow.
Policy / Regulatory Changes · 142 signals · last 30 days -
UnitedHealthcare names new president in latest leadership shuffle
Robert Hunter will focus on UnitedHealthcare’s “modernization agenda” in the new role. It’s the latest in a slew of leadership changes at UnitedHealth as the company works to restore its image.
UnitedHealthcareUnitedHealthUnitedHealthcare · 48 signals · last 30 days -
Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Int...
Policy / Regulatory Changes · 142 signals · last 30 days -
SCAN expands reach into Oregon in partnership with the Springs Living
SCAN Health Plan is teaming up with the Springs Living, a senior living organization, to launch new co-branded products that aim to offer a more connected experience for people living in these communities.
SCAN OregonSCAN Health Plan · 14 signals · last 30 days -
‘A real checkerboard’: The Medicare Advantage threats facing older adults, community plans
In 2026, 4.6 million Medicare Advantage beneficiaries, or 16% of enrollees, experienced disruptions to their health plan, according to a recent brief from the Alliance of Community Health Plans and consulting firm HealthScape Advisors. Hospitals have been dropping MA plans, often citing prior authorization issues and slow reimbursement. Meanwhile, health insurers have been exiting markets […] The post ‘A real checkerboard’: The Medicare Advantage threats facing older adults, community plans a...
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CMS projects lower Medicare Advantage premiums in 2027
Plans are expecting Medicare Advantage enrollment of 34 million beneficiaries in 2027, or about 47.4% of all Medicare enrollees, according to a Sept. 28 CMS news release. This would be flat compared with the 2026 projection, but actual MA enrollment was 36.1 million as of June. CMS released early insights and projections just ahead of […] The post CMS projects lower Medicare Advantage premiums in 2027 appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 142 signals · last 30 days -
UnitedHealthcare, TeamHealth settle $100M alleged upcoding case
UnitedHealthcare and TeamHealth have settled a lawsuit in which the insurer accused the physician staffing company of upcoding emergency department claims. The lawsuit was voluntarily dismissed with prejudice Sept. 24 in Tennessee federal court, according to court records. The dismissal comes after the payer and hospital staffing company told the court Aug. 11 they had […] The post UnitedHealthcare, TeamHealth settle $100M alleged upcoding case appeared first on Becker's Payer Issues | Payer...
UnitedHealthcare TennesseeUnitedHealthcare · 48 signals · last 30 days -
The states losing the most Medicare Advantage plans in 2027
Medicare Advantage plan choice will fall in more than half of states in 2027, even as CMS projects lower average premiums and a nearly unchanged number of available plans nationwide. The decline follows widespread disruption in 2026, when as many as 2.9 million MA enrollees had to find new coverage after their plans were discontinued […] The post The states losing the most Medicare Advantage plans in 2027 appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 142 signals · last 30 days -
UnitedHealthcare, Team Health settle $100M fraud suit in Tennessee
A 2021 legal battle between UnitedHealthcare and Team Health was dismissed after the parties reached a settlement, per court documents.
UnitedHealthcare TennesseeUnitedHealthcare · 48 signals · last 30 days -
Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027
Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027 The Centers for Medicare & Medicaid Services (CMS) today announced significant premium savings for millions of Medicare beneficiaries in 2027, with weighted average MA premiums projected to fall more than 16% from 2026 to 2027, and average prescription drug premiums in Medicare Advantage projected to plummet 38%.
Policy / Regulatory Changes · 142 signals · last 30 days -
Trump Administration Announces $169 Million to Expand Specialty Care, Strengthen Emergency Services, and Bring Lifesaving Blood Transfusions Closer to Colorado Patients
Trump Administration Announces $169 Million to Expand Specialty Care, Strengthen Emergency Services, and Bring Lifesaving Blood Transfusions Closer to Colorado Patients This federal investment will support 91 grantees expanding telemedicine, mobile care, behavioral and maternal healthcare, and rural healthcare workforce initiatives across Colorado
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UnitedHealthcare names new president
Bobby Hunter has been named president of UnitedHealthcare. Mr. Hunter said Sept. 28 his focus in the new role will be on speeding up UnitedHealthcare’s modernization agenda, working toward a system where plans and providers work together more seamlessly, information flows instantly and care teams spend more time with patients. “To get there, we must […] The post UnitedHealthcare names new president appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcareUnitedHealthcare · 48 signals · last 30 days -
Optum Health taps CEO for AI, product innovation
Wes Donohoe is serving as Optum Health’s CEO for AI and product innovation, the company confirmed to Becker’s Sept. 28. According to Mr. Donohoe’s LinkedIn post, he started the role, which focuses on AI and product innovation, Sept. 21. Mr. Donohoe said he spent his first week traveling to Minnesota and Texas to meet with […] The post Optum Health taps CEO for AI, product innovation appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 48 signals · last 30 days -
CMS launches outcomes-driven quality measurement initiative for states
The Centers for Medicare & Medicaid Services Sept. 25 announced the launch of a new initiative measuring quality in Medicaid and the Children’s Health Insurance Program. CMS has partnered with 37 states for the Investing in Health Outcomes initiative, where states can commit to a voluntary Medicaid Quality Pledge involving four principles: prioritizing health outcomes over process; streamlining quality measure inventories to reduce burden without sacrificing accountability; advancing digital...
Policy / Regulatory Changes · 142 signals · last 30 days -
Elevance names commercial CIO
Elevance Health named Venkat Alladi as vice president and CIO of the commercial health benefits division, the company confirmed to Becker’s Sept. 28. Mr. Alladi’s team supports digital, data and AI advancement. The technology efforts encompass the commercial, specialty, Federal Employee Program and third-party administrator AmeriBen businesses, his LinkedIn profile said. Mr. Alladi has served […] The post Elevance names commercial CIO appeared first on Becker's Payer Issues | Payer News .
ElevanceElevance Health · 16 signals · last 30 days -
Trump Administration Announces $51 Million for Rural Texas Nutrition and Chronic Disease Prevention Programs
Trump Administration Announces $51 Million for Rural Texas Nutrition and Chronic Disease Prevention Programs This federal investment will support 68 rural hospital districts and authorities working to prevent and manage diabetes, cardiovascular disease, respiratory disease, and obesity
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37 states partner with CMS on initiative to rethink Medicaid quality measures
The Trump administration announced Friday that it is launching a new partnership with 37 states that aims to rethink how quality is measured in Medicaid and CHIP.
Policy / Regulatory Changes · 142 signals · last 30 days -
CMS Refocuses Medicaid Quality on Health Outcomes, Launches Innovative Partnership With 37 States
CMS Refocuses Medicaid Quality on Health Outcomes, Launches Innovative Partnership With 37 States The Centers for Medicare & Medicaid Services (CMS) is launching an initiative with a founding group of 37 state partners to focus on how quality is measured in Medicaid and the Children’s Health Insurance Program (CHIP). The effort will put health outcomes — not processes and paperwork — at the center of how success is defined. CMS and its partners will prioritize measures that demonstrate meanin...
Policy / Regulatory Changes · 142 signals · last 30 days -
CMS launches Medicaid quality pledge with 37 states
CMS is working with 37 states on quality measurement in Medicaid and the Children’s Health Insurance Program, the agency shared Sept. 25. The initiative, called “Investing in Health Outcomes,” allows states to sign onto a voluntary pledge centered on prioritizing health outcomes over processes, streamlining quality measure inventories, adopting digital quality measurement with near-real-time data […] The post CMS launches Medicaid quality pledge with 37 states appeared first on Becker's Payer...
Policy / Regulatory Changes · 142 signals · last 30 days -
Tennessee received $59M in Medicaid overpayments: OIG
Tennessee’s Medicaid program claimed $59.3 million in federal reimbursement for case management services provided to children who did not qualify for them, the HHS Office of Inspector General said in an audit report published Sept. 23. The OIG’s recommendations are not final decisions, and CMS ultimately determines whether to pursue recovery. Six notes: The post Tennessee received $59M in Medicaid overpayments: OIG appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 142 signals · last 30 days -
ACHP’s ‘MA for Tomorrow’ Receives 2026 ASAE Power of Associations Silver Award
ACHP's MA for Tomorrow initiative earned a 2026 ASAE Power of Associations Silver Award for advancing Medicare Advantage reforms on quality and competition. Source
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7 payers among world’s best companies in 2026
Seven U.S. health insurers made Time’s 2026 list of the world’s top 1,000 companies. Time and market research firm Statista compiled the ranking by evaluating employee satisfaction, revenue growth and sustainability transparency. Cigna ranked 2nd overall, jumping up 8 places from last year, and Humana landed 15th place, leaping 219 spots. The seven health insurers […] The post 7 payers among world’s best companies in 2026 appeared first on Becker's Payer Issues | Payer News .
HumanaCignaHumana + Cigna · 28 signals · last 30 days -
IBX names UnitedHealth, AmeriHealth Caritas alums as general counsel, CFO
Independence Blue Cross named Christine Kourouklis as executive vice president, CFO and treasurer and Brian Iaia as executive vice president, general counsel and corporate secretary, the company shared Sept. 24. “Christine and Brian bring the leadership and strategic insight we need to strengthen our organization, continue delivering for our members and customers and help shape […] The post IBX names UnitedHealth, AmeriHealth Caritas alums as general counsel, CFO appeared first on Becker's Pa...
UnitedHealthBlue CrossUnitedHealthcare + Blue Cross Blue Shield plans · 83 signals · last 30 days -
Privacy Act of 1974; Matching Program
In accordance with subsection (e)(12) of the Privacy Act of 1974, as amended, the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), is providing notice of the re-establishment of a matching program between CMS and the Do Not Pay Working System, which is administered by the U.S. Department of the Treasury, Bureau of Fiscal Service (Fiscal Service).
Policy / Regulatory Changes · 142 signals · last 30 days -
UnitedHealth Group creates new chief administrative officer position
UnitedHealth Group has named Jodee Kozlak to the newly-created role of chief administrative officer, the healthcare giant announced Thursday morning.
UnitedHealthUnitedHealthcare · 48 signals · last 30 days