Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
734 signals
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A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry
A ballot measure to eliminate Missouri’s income tax would give the state legislature broad authority to levy new sales taxes to replace the lost revenue. Critics say that could mean adding a sales tax on medical services or prescription medicines. Those types of taxes are unusual, but not unheard of, in the U.S.
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UnitedHealth raises 2026 guidance again as cost controls pay off in Q2
UnitedHealth’s profit spiked to $5.5 billion in the second quarter thanks to notable earnings recovery in its insurance and value-based care delivery businesses. The healthcare juggernaut delivered for investors, analysts said.
UnitedHealthUnitedHealthcare · 37 signals · last 30 days -
Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
This proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to drugs and biological products paid under...
Policy / Regulatory Changes · 74 signals · last 30 days -
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the "generic" clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information requests that are "usually voluntary, low-burden, and uncontroversial collections," do not raise any substantive or policy issues, and do not require policy or methodological review. The process requires the submission of an overarchin...
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Request for Information; Clinical Laboratory Improvement Amendments of 1988 (CLIA) Regulations
Clinical laboratory testing technology has advanced significantly since the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations were implemented in 1992. This request for information (RFI) seeks input from the public regarding various topics related to the CLIA regulations, including: breath testing; laboratory processes and procedures; emergency preparedness, biosafety and biosecurity, and cybersecurity; and specialty testing areas. Responses to this RFI may be used to help...
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Regence Oregon kept 98% of its commercial members last year – here’s how
Regence BlueCross BlueShield of Oregon retained more than 98% of its employer-sponsored group membership in 2025, the top mark among all 33 Blue Cross Blue Shield plans in what is the most competitive market tier. The achievement came during a year that Renee Balsiger, vice president of sales at the company, described as the hardest […] The post Regence Oregon kept 98% of its commercial members last year – here’s how appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 22 signals · last 30 days -
8 things to know about Medicare-Medicaid dual-eligible individuals: KFF
Approximately 12 million Americans enrolled in both Medicare and Medicaid account for a disproportionate share of both programs’ spending while facing substantially greater health, functional and financial challenges than other Medicare beneficiaries, according to two KFF reports published July 15. The analyses draw on linked Medicare and Medicaid administrative and claims data from 2022 and […] The post 8 things to know about Medicare-Medicaid dual-eligible individuals: KFF appeared first on...
Demographic Shifts · 1 signal · last 30 days -
A Profile of Dual-Eligible Individuals
Approximately 12 million people are enrolled in both Medicare and Medicaid, referred to as dual-eligible individuals. This brief examines the demographic, socioeconomic, and health characteristics of dual-eligible individuals compared with Medicare beneficiaries without Medicaid.
Demographic Shifts · 1 signal · last 30 days -
Five Key Facts About Spending and Enrollment for People with Medicare and Medicaid (Dual-Eligible Individuals)
This issue brief analyzes provides a profile of enrollment and spending on dual-eligible individuals, drawing on new analysis of data on chronic conditions to show how higher rates of chronic conditions contribute to higher average spending among this population.
Membership Movement · 5 signals · last 30 days -
Elevance Health previews Medicaid exits as profit slips
Elevance Health will avoid federal sanctions on its Medicare Advantage operations, executives said Wednesday.
ElevanceElevance Health · 11 signals · last 30 days -
AHA responds to CMS on potential modifications to ACA’s Essential Health Benefits
The AHA July 15 responded to a request for information from the Centers for Medicare & Medicaid Services on the Affordable Care Act’s Essential Health Benefits framework, which creates the guardrails for defining comprehensive insurance coverage. The AHA supported updating the EHBs to reflect a changing healthcare landscape but cautioned CMS against changes to the EHBs that would dilute coverage, noting that affordability cannot be measured by premiums alone and that adequate coverage is esse...
Policy / Regulatory Changes · 74 signals · last 30 days -
Elevance slides as profit guidance raise fails to impress
Elevance Health may foresee financial challenges in the later part of the year.
ElevanceElevance Health · 11 signals · last 30 days -
Identity Verification: GSA Needs to Address Fraud Threats and Technical Issues
What GAO Found The proliferation of cyberattacks on federal agencies and other organizations has led to an increased risk of stolen personally identifiable information (PII) being used to commit fraud. For example, malicious actors have used the information to fraudulently obtain government benefits and commit tax fraud, among other things. The Social Security Administration has reported that personal information of beneficiaries has been used to fraudulently redirect the beneficiary’s direct...
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Elevance shuts down D.C. Medicaid business, eyes additional exits after passable Q2
Elevance will leave D.C. this summer and is considering other markets to depart, executives said. The company outperformed Wall Street expectations in the second quarter — but not by much, and its stock fell accordingly.
ElevanceElevance Health · 11 signals · last 30 days -
What’s next for Optum Financial after its latest acquisition
The company acquired benefits platform Alegeus Technologies this month.
OptumUnitedHealthcare · 37 signals · last 30 days -
Immigration Courts: Stakeholder Perspectives on the Use of Remote Hearings
What GAO Found The Department of Justice’s Executive Office for Immigration Review (EOIR) conducts immigration court proceedings both in-person and using remote technology, such as WebEx—an internet-based video teleconferencing platform, or telephone. Per EOIR policy, immigration judges may use discretion to decide which, if any, remote medium is used by participants in a hearing. EOIR collects data on the medium used for each hearing, which reflects the location of only the judge and respond...
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Federal Real Property: Further Consolidating DOT Office Space Could Save Hundreds of Millions of Dollars
What GAO Found The Department of Transportation (DOT) and its component agencies are underutilizing their office space department-wide based on the Utilizing Space Efficiently and Improving Technologies (USE IT) Act benchmark of 60 percent utilization. Specifically, GAO found that 89 percent of DOT’s 189 office buildings, including the DOT and the Federal Aviation Administration (FAA) headquarters complexes, were underutilized in August and September 2025 based on the USE IT benchmark. This w...
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Science & Tech Spotlight: Geographic Origin of Food and Other Imports
Why This Matters Bad actors may falsify the geographic origin of products to illicitly sell goods or substitute premium products with cheaper products, which can threaten our economy and consumer safety. In 2021, the U.S. International Trade Commission estimated that U.S. commercial fishing may have lost nearly $61 million in operating income due to illegal, unreported, and unregulated seafood imports. Technologies that verify the origin of imported food and agricultural products, like seafoo...
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Chairmen Guthrie and Hudson Announce Hearing on Protecting Communications Networks and Improving Connectivity
**WASHINGTON, D.C.** - Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Richard Hudson (NC-09), Chairman of the Subcommittee on Communications and Technology, announced a hearing titled _Legislative Hearing on Protecting Communications...
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Medicare doctor pay would dip slightly under proposed rule for 2027
Medicare pay cuts may return in 2027 after Congress gave physicians a one-year reprieve for this year.
Policy / Regulatory Changes · 74 signals · last 30 days -
FTC, CVS Health agree to settle PBM insulin suit
The federal government in September 2024 sued the country’s three largest pharmacy benefit managers for allegedly inflating the list price of insulin drugs.
CVS HealthCVS Health / Aetna · 10 signals · last 30 days -
State fines hospitals $1.2 million in first year of enforcement over missed breaks
State fines hospitals $1.2 million in first year of enforcement over missed breaks Three hospitals accounted for nearly 60% of complaints, with Kaiser Permanente Sunnyside at the top Joanne Zuhl Tue, 07/14/2026 - 13:07 Officials at Oregon’s Bureau of Labor and Industries have fined hospitals $1.2 million over the past year for failing to give nurses and other staff their mandated breaks. The fines, which are paid to staff who miss their breaks and not to the state, have been in effect since l...
Kaiser OregonKaiser Permanente · 5 signals · last 30 days -
Sanford to sell Marshfield Clinic hospital to UW Health
Sanford Health acquired Marshfield Clinic Health System in January 2025.
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New Watchdog Report Confirms Significant Structural Failures Enabling Widespread Obamacare Fraud
WASHINGTON, D.C. – A new Government Accountability Office (GAO) report confirms significant structural weaknesses in the Obamacare Marketplace that have enabled... The post New Watchdog Report Confirms Significant Structural Failures Enabling Widespread Obamacare Fraud appeared first on Ways and Means .
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SC veterans deserve a conversation on legalizing medical marijuana
I came home from war with things I could explain and things I still cannot. Some of it was physical. Some of it was mental. Some of it was the kind of weight that does not show up cleanly on a chart, in a scan, or in a polite conversation. Any veteran reading this knows […]
SCANSCAN Health Plan · 11 signals · last 30 days