Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
724 signals
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Chairman Smith Statement on Fed Rate Announcement
WASHINGTON, D.C. – Ways and Means Committee Chairman Jason Smith (MO-08) released the following statement after the Federal Open Market... The post Chairman Smith Statement on Fed Rate Announcement appeared first on Ways and Means .
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Judge denies Cigna bid to have health data-tracking lawsuit tossed
A Pennsylvania federal judge ruled that four of the five claims in a lawsuit alleging Cigna violated privacy protections through third-party vendors using tracking technologies on its website can proceed. The complaint dates to May 2025, with the most recent amended complaint from March 2026. Plaintiffs include current and past Cigna policyholders who allege a […] The post Judge denies Cigna bid to have health data-tracking lawsuit tossed appeared first on Becker's Payer Issues | Payer News .
Cigna PennsylvaniaCigna · 10 signals · last 30 days -
Aurenar lands $5.7M seed funding round for non-invasive neuromodulation platform
The funding will be used to advance the company’s technology and capabilities, CEO and founder Eric Leuthardt, M.D., told Fierce.
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Procode AI secures $10M series A for AI-powered RCM for surgical billing
The fresh funding will back two additional acquisitions, which executives say will be announced in the coming months.
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Margin improvements underpin Centene's strategy for 2027 ACA plans, CEO says
Centene reported $1.1 billion in profit for the second quarter of 2026, rebounding from a loss a year ago.
CenteneCentene · 11 signals · last 30 days -
Universal Health Services tops Q2 expectations, but dials back full-year earnings
Volume recovery, capacity increases, supplemental funding, some struggling facilities and a jump in liability expenses all played into a guidance revision at the acute and behavioral hospital operator. Health insurance exchange impacts, while elevated, still landed within the higher range of the company's initial expectations.
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Humana still on track for 25% Medicare Advantage membership growth this year
Humana has reaffirmed its expectations that Medicare Advantage membership will grow by 25% this year, the company said Wednesday.
HumanaHumana · 13 signals · last 30 days -
AI doctor startup Doctronic acquires Summer Health to move into pediatric care
AI doctor startup Doctronic aims to broaden its reach beyond adult primary care by acquiring text-based pediatric care platform Summer Health.
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A look at CVS’ march toward a simpler patient experience
CVS Health Chief Medical Officer Amy Compton-Phillips, M.D., joins senior writer Paige Minemyer to unpack initiatives such as CVS Health 100 and discuss what the ideal patient experience might look like.
CVS HealthCVS Health / Aetna · 10 signals · last 30 days -
Medicare Part D 2027 National Average Monthly Bid Amount Information
Medicare Part D 2027 National Average Monthly Bid Amount Information On July 28, 2026, the Centers for Medicare & Medicaid Services (CMS) released preliminary technical Medicare Part D bid information for contract year (CY) 2027 to help Part D plan sponsors finalize their Part D and Medicare Advantage (MA) offerings and prepare for Medicare Open Enrollment.
Policy / Regulatory Changes · 68 signals · last 30 days -
CMS Medicaid Fraud War Room Stops More Than $203 Million in Improper Payments During First 88 Days
CMS Medicaid Fraud War Room Stops More Than $203 Million in Improper Payments During First 88 Days 50 high-risk providers identified through coordinated federal, state enforcement actions
Policy / Regulatory Changes · 68 signals · last 30 days -
19 health plan C-suite exits in 2026
From regional plans to large, for-profit health insurers, 2026 has marked a year of executive transition. Here are 19 C-suite executives who recently shared plans to leave their organization: 1. Brian Ternan, most recently president and CEO of Centene’s Health Net, is transitioning to serve as executive vice president of commercial business at GuideWell, the […] The post 19 health plan C-suite exits in 2026 appeared first on Becker's Payer Issues | Payer News .
CenteneCentene · 11 signals · last 30 days -
GE HealthCare posts record order growth despite patient care struggles
The Chicago medical imaging giant reviewing whether to keep the patient care business, which consists of monitoring and anesthesia products, or to sell all or part of it.
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Trump administration ending Medicare premium subsidy program
The Trump administration on Tuesday said it would move to end a Biden-era Medicare premium subsidy program, alleging it benefited insurance companies more than enrollees. As a result, Medicare Part D subsidies will expire at the end of the year and no longer be offered in 2027. Medicare Part D is optional prescription drug coverage...
Policy / Regulatory Changes · 68 signals · last 30 days -
Medicare Advantage giant Humana eyes retreat amid struggles
Humana, second in Medicare Advantage market share, plans to reduce its offerings and shrink membership by 600,000.
HumanaHumana · 13 signals · last 30 days -
Humana elects Anthropic exec to board of directors
Humana’s board of directors has elected Paul Smith and Frederick Crawford as new members. Mr. Smith serves as chief commercial officer at Anthropic, where he leads commercial strategy and global go-to-market operations. He’s previously held leadership roles at ServiceNow, Salesforce and Microsoft. Mr. Crawford previously served as president and COO at Aflac before his retirement […] The post Humana elects Anthropic exec to board of directors appeared first on Becker's Payer Issues | Payer News .
HumanaHumana · 13 signals · last 30 days -
CMS to end Medicare Part D stabilization program
CMS will discontinue the Part D premium stabilization program at the end of this year, returning the standalone prescription drug plan market to what the agency called “traditional market conditions.” CMS said July 28 its analysis of 2027 bids indicated insurers had gained sufficient experience under the redesigned Part D benefit to support their assumptions […] The post CMS to end Medicare Part D stabilization program appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 68 signals · last 30 days -
Humana turns $694M Q2 profit amid Medicare Advantage, CenterWell growth
Humana reported a $694 million profit for the second quarter, up more than 27% year over year, according to its July 29 earnings report. Revenue reached $40.8 billion, a 26% increase from the same period in 2025, driven by Medicare membership growth, higher per-member Medicare Advantage and standalone prescription drug plan premiums from increases in […] The post Humana turns $694M Q2 profit amid Medicare Advantage, CenterWell growth appeared first on Becker's Payer Issues | Payer News .
HumanaHumana · 13 signals · last 30 days -
Medicare’s Proposed Cut to 340B Drug Payments Would Hit Safety-Net Hospitals While Benefiting For-Profit Hospitals
This analysis finds that CMS’s proposed cut to Medicare reimbursement for 340B drugs, and accompanying increase for other outpatient services, would reduce revenues among safety-net hospitals while increasing revenues among for-profit hospitals.
Policy / Regulatory Changes · 68 signals · last 30 days -
Weaponizing Fraud Against Medicaid in California and Minnesota: Another Quarter, Another Round of Deferrals
At a July 21 press conference, CMS Administrator Mehmet Oz announced that his agency was deferring payment of $1.1 billion in federal Medicaid matching funds to California and Minnesota “pending review of high-risk claims in crackdown on fraud.” The amount of the California deferral was $867.5 million; the Minnesota deferral, $199.0 million. CMS has previously taken […]
Policy / Regulatory Changes · 68 signals · last 30 days -
CMS’s Decision to End Temporary Subsidies to Medicare’s Stand-Alone Drug Plans Could Mean Larger Premium Increases for Some Beneficiaries Next Year
Without these extra subsidies in place for 2027, some Part D stand-alone drug plan (PDP) enrollees could see a larger premium increase for drug coverage next year than they’ve faced in recent years, though plan-specific premium amounts are not yet known. While some policymakers questioned the rationale for and cost of the premium stabilization demonstration, which totaled $9.8 billion in 2025 and 2026, the extra subsidies worked as intended to stabilize year-over-year PDP premium increases an...
Policy / Regulatory Changes · 68 signals · last 30 days -
HHS launches behavioral health pledge as Optum preps new services
As HHS hosts payers and medical associations in Washington, D.C., it will introduce a pledge July 29 to advance mental health and addiction care nationwide. Optum CEO Patrick Conway, MD, told Becker’s on July 27 that his company will be the first in the private sector to sign on. Optum is also rolling out products […] The post HHS launches behavioral health pledge as Optum preps new services appeared first on Becker's Payer Issues | Payer News .
Optum WashingtonUnitedHealthcare · 35 signals · last 30 days -
CMS to end subsidies for Medicare drug plan premiums
The CMS said the program, which went into effect last year to stabilize Part D premiums and enrollment, isn’t needed anymore. One researcher said some enrollees could see higher premium increases in 2027 as a result.
Policy / Regulatory Changes · 68 signals · last 30 days -
Doctronic acquires pediatric virtual care platform Summer Health
Doctronic has acquired Summer Health to move into the pediatric primary care space.
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MultiCare, Premera reach deal to keep coverage for over 100K WA patients
MultiCare, which operates more than a dozen hospitals in Washington, has agreed to keep charging Premera Blue Cross insurance customers in-network rates after months of negotiations that threatened their coverage. The hospital system and insurer are still hashing out the details, Bill Akers, executive vice president of sales and marketing for Premera, said Tuesday. Both […]
Blue Cross WashingtonBlue Cross Blue Shield plans · 20 signals · last 30 days