Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
1195 signals
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North Dakota insurance commissioner posts premium rate changes for next year
North Dakota Insurance Commissioner Jon Godfread on Monday released health insurance premium rate changes for Affordable Care Act plans for 2027. His news release includes a table of ACA small group and individual market rate increases for companies including UnitedHealthcare, Blue Cross Blue Shield of North Dakota and Sanford Health Plan. Godfread did reduce some […]
UnitedHealthcare + Blue Cross Blue Shield plans · 80 signals · last 30 days -
1.1 million Medicare beneficiaries signed up for GLP-1 Bridge model
Roughly 1.1 million Medicare beneficiaries have signed up to access discounted GLP-1s through CMS’ Bridge model, HHS Chief Counselor Chris Klomp said during an Oct. 7 Wall Street Journal event. The pilot launched July 1, rolling out to Medicare Part D beneficiaries who meet specific clinical criteria. The pilot intends to reach beneficiaries needing anti-obesity […] The post 1.1 million Medicare beneficiaries signed up for GLP-1 Bridge model appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Blue Cross and Blue Shield of Louisiana names new CEO
Blue Cross and Blue Shield of Louisiana has named Brian Keller president and CEO, effective Dec. 1. Mr. Keller will succeed Bryan Camerlinck, who announced his planned retirement earlier this year. Mr. Camerlinck will remain president and CEO through Nov. 30 to support the leadership transition, according to an Oct. 13 Louisiana Blue news release. […] The post Blue Cross and Blue Shield of Louisiana names new CEO appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Nearly Three-Quarters of Medicare Advantage Enrollees Could be Denied a Medigap Policy Due to a Pre-Existing Condition
This analysis examines the share of Medicare Advantage enrollees who have a pre-existing condition that could result in a Medigap denial if they seek to switch to traditional Medicare outside their one-time 12-month trial period, including national estimates and estimates by age and by state. KFF finds that nearly three-quarters of Medicare Advantage enrollees (74%) or 20.9 million people in 2023 had a pre-existing medical condition identified from KFF’s review of Medigap applications that co...
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Medigap Guaranteed Issue Requirements: An Overview of Federal and State Rules
This issue brief analyzes federal and state rules related to guaranteed issue requirements for Medigap policies and how they impact beneficiaries’ access to Medigap, including the implications for Medicare beneficiaries with pre-existing medical conditions and those under age 65 with long-term disabilities.
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Key Facts About Medigap Enrollment and Premiums for Medicare Beneficiaries
This brief presents facts about Medigap, including the characteristics of Medicare beneficiaries with a Medigap policy, variation in Medigap enrollment by state, and Medigap premiums.
Membership Movement · 18 signals · last 30 days -
Alignment Healthcare Inc. et al. v. Department of Health and Human Services et al. (Alignment II)
Medicare Advantage Star Ratings litigation. The post Alignment Healthcare Inc. et al. v. Department of Health and Human Services et al. (Alignment II) appeared first on Health Care Litigation Tracker .
Alignment HealthcareAlignment Healthcare · 3 signals · last 30 days -
UnitedHealth Group beats the Street with $4.1B in profit for Q3
Another round of healthcare industry earnings reports kicked off Tuesday morning, with UnitedHealth Group reporting $4.1 billion in profit for the third quarter.
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Humana, BlackRock strike $2.8B deal to manage CenterWell clinics
Humana will enter into a joint venture with investment firm BlackRock to manage and operate its CenterWell primary care clinics for seniors, swapping out its current partner Welsh, Carson, Anderson & Stowe.
HumanaHumana · 13 signals · last 30 days -
Trump Administration Announces More Than $177 Million to Recruit Rural Healthcare Workers, Expand Mobile Care, and Modernize Services Across Nebraska
Trump Administration Announces More Than $177 Million to Recruit Rural Healthcare Workers, Expand Mobile Care, and Modernize Services Across Nebraska This federal investment will bring new providers to rural communities, deploy remote-monitoring technology at dozens of healthcare facilities, and create hundreds of community health positions across Nebraska
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Centene to roll out gold card program to more than 160,000 providers
Centene will launch its National Performance-Based Gold Card Program in November. Gold carding aims to streamline prior authorization, reducing requirements for trusted providers. The program will first be available to more than 160,000 qualifying providers across the country for some outpatient services. Eligibility is determined by approval history, documentation quality, medical policy compliance and adherence […] The post Centene to roll out gold card program to more than 160,000 provider...
CenteneCentene · 13 signals · last 30 days -
Humana strikes $2.8B CenterWell senior clinic deal with BlackRock
Humana has agreed to form a new joint venture with investment management firm BlackRock to own and operate nearly 150 CenterWell Senior Primary Care clinics, replacing CenterWell’s existing joint ventures with private equity firm Welsh, Carson, Anderson & Stowe. Funds and accounts managed by HPS Investment Partners, part of BlackRock, will acquire Welsh Carson’s equity […] The post Humana strikes $2.8B CenterWell senior clinic deal with BlackRock appeared first on Becker's Payer Issues | Paye...
HumanaHumana · 13 signals · last 30 days -
“I’m an MA Voter”: Seniors Make Medicare Advantage a Midterm Issue
Six-figure ad campaign launches days before open enrollment, with millions of beneficiaries set to lose their plans next year WASHINGTON — Better Medicare Alliance today launched “I’m an MA Voter,” … Continue reading "“I’m an MA Voter”: Seniors Make Medicare Advantage a Midterm Issue" The post “I’m an MA Voter”: Seniors Make Medicare Advantage a Midterm Issue appeared first on Better Medicare Alliance .
Membership Movement · 18 signals · last 30 days -
UnitedHealth reports $4.1B in profit, launches AI recommendations for Medicare Advantage plans
UnitedHealth Group reported $4.1 billion in profit for the third quarter of 2026, up 75% year over year, according to an Oct. 13 release. UnitedHealth raised its full-year outlook to at least $19.50 per share, with adjusted earnings of at least $20.50 per share. The company is also rolling out AI-powered plan recommendations for the […] The post UnitedHealth reports $4.1B in profit, launches AI recommendations for Medicare Advantage plans appeared first on Becker's Payer Issues | Payer News .
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Indiana death row inmate seeks execution delay for brain scans ahead of clemency hearings
Indiana death row inmate Jeffrey Weisheit is asking the state’s highest court to move his execution from Nov. 5 to Nov. 19 so experts can analyze brain scans his attorneys say would give Gov. Mike Braun a fuller account of his impairments before deciding clemency. A federal judge approved funding for the testing but ruled […]
SCAN IndianaSCAN Health Plan · 12 signals · last 30 days -
Humana enters $2.8B primary care joint venture with BlackRock
Investment firm BlackRock will acquire a majority stake in nearly 150 senior primary care clinics owned by Humana’s senior healthcare division, CenterWell, the insurer announced Tuesday.
HumanaHumana · 13 signals · last 30 days -
UnitedHealth eyes Medicare Advantage opportunities, bolstered by Q3 profit growth
UnitedHealth raised its 2026 earnings guidance and outperformed analyst expectations for the third time this year, suggesting its financial turnaround is sustainable.
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Alignment Healthcare sues CMS over its 2027 Medicare Advantage star ratings
Alignment Healthcare sued federal regulators, alleging that its 2027 Medicare Advantage star ratings were determined "in flagrant violation" of statute.
Alignment HealthcareAlignment Healthcare · 3 signals · last 30 days -
Payers face a choice on price transparency: Comply or adopt
CMS shared its Transparency in Coverage rulemaking — formed in partnership with the Labor and Treasury departments — on Oct. 5. Now, payers are reckoning with the changes. The rule updated previous regulations introduced by the Trump administration in 2020, such as a requirement for payers to post negotiated rates. The recent rule cuts so-called […] The post Payers face a choice on price transparency: Comply or adopt appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Former UnitedHealth Group CEO named chairman of venture capital firm
Former UnitedHealth Group CEO Sir Andrew Witty has been named chairman of Hatteras Venture Partners, a venture capital firm focused on healthcare innovation, investing across biopharmaceuticals, medical devices and health technology. Mr. Witty is returning to Hatteras, where he served as a venture partner from 2017 to 2019, according to a Sept. 30 news release […] The post Former UnitedHealth Group CEO named chairman of venture capital firm appeared first on Becker's Payer Issues | Payer News .
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Why would a payer own ASCs? IBX explains
Independence Blue Cross has contracted with ASCs for years, but its new ownership stake in a surgery center company signals the insurer decided contracts alone were not enough. “Contracting remains an important part of Independence Blue Cross’s strategy, but that alone won’t create new capacity,” a spokesperson for the Philadelphia-based insurer told Becker’s. “That’s why […] The post Why would a payer own ASCs? IBX explains appeared first on Becker's Payer Issues | Payer News .
Blue CrossBlue Cross Blue Shield plans · 36 signals · last 30 days -
ACHP Recommendations for an Inferred Risk Adjustment Model
ACHP urges CMS to preserve separate payment terms for state directed payments and coordinate with NAIC so risk-based capital reflects the risk plans bear. Source
Policy / Regulatory Changes · 140 signals · last 30 days -
Cigna board director to retire
Cigna board director Donna Zarcone will retire at the end of 2026. Ms. Zarcone informed the board of her decision on Oct. 6. According to her LinkedIn profile, she has been on Cigna’s board since 2005. Ms. Zarcone is also currently on the board of investment firm Halstatt. Ms. Zarcone is the former CEO of […] The post Cigna board director to retire appeared first on Becker's Payer Issues | Payer News .
CignaCigna · 15 signals · last 30 days -
From policy to practice: How health plans can operationalize CMS payment integrity changes
CMS is reshaping how health plans approach payment integrity. Faster regulatory cycles along with heightened scrutiny of improper payments have resulted in expanded audits for providers and payers. This represents a greater emphasis on prevention and real-time intervention as increasing pressure on payers to ensure medical claims are reimbursed accurately. Today’s challenge goes far beyond […] The post From policy to practice: How health plans can operationalize CMS payment integrity changes...
Policy / Regulatory Changes · 140 signals · last 30 days -
Alabama voters to consider Pledge of Allegiance, National Anthem, school prayer
Alabama voters will decide in November whether to amend the state constitution to require school boards to adopt policies the daily recital of the Pledge of Allegiance in schools and student-led prayer, as well as the broadcast of the Star-Spangled Banner every week. Amendment 3, sponsored by Rep. Reed Ingram, R-Pike Road, requires K-12 public […]
Anthem AlabamaElevance Health · 16 signals · last 30 days