Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
722 signals
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CMS announces QualTech event focusing on innovative technology to improve health outcomes
The Centers for Medicare & Medicaid Services yesterday announced the launch of QualTech, a new event created to identify innovative technology that improves health outcomes. CMS is seeking participants from U.S-based teams, academic institutions, nonprofit organizations, private sector companies, industry associations and other stakeholders to propose technology solutions in advance of the event. Applicants must align proposal submissions to one of four priority opportunity areas: using artif...
Policy / Regulatory Changes · 67 signals · last 30 days -
Costco enters Medicare market through SCAN partnership
SCAN Health Plan and Costco will roll out insurance products for older adults in the coming years, according to an Aug. 18 news release. The Wall Street Journal reported that the companies would begin by selling jointly branded Medicare Advantage products in two states, as well as a Medicare supplement in a third state. While the geography was […] The post Costco enters Medicare market through SCAN partnership appeared first on Becker's Payer Issues | Payer News .
SCANSCAN Health Plan · 11 signals · last 30 days -
Hospital to exit bankruptcy, inks 4-year deal with BCBS Alabama
Montgomery, Ala.-based Jackson Hospital has filed to exit bankruptcy and signed a four-year deal with Blue Cross Blue Shield of Alabama, John Quinlivan, CEO of Jackson Hospital, said during an Aug. 17 news conference. The BCBS agreement will become active once the exit is complete. “The agreement does not give us everything we felt we […] The post Hospital to exit bankruptcy, inks 4-year deal with BCBS Alabama appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 20 signals · last 30 days -
Top Medicare Advantage plans for member satisfaction in 2026: JD Power
Blue Cross Blue Shield of Tennessee has the highest-ranked Medicare Advantage plan for member satisfaction in 2026, according to JD Power’s 12th annual Medicare Advantage study. The consumer insight firm published its annual ranking of the top MA plans in 12 markets on Aug. 18 after surveying more than 14,500 enrollees and evaluating plans on […] The post Top Medicare Advantage plans for member satisfaction in 2026: JD Power appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 20 signals · last 30 days -
What the Medicare Advantage rebound signals for 2027
Major Medicare Advantage insurers' recovery accelerated in the second quarter after companies posted lower medical costs than expected.
Financial / Operating Pressure · 13 signals · last 30 days -
America digitized healthcare. Now it’s time to connect it.
Seema Verma, a former administrator for the CMS, makes the case for better connecting healthcare data as the agency marks the first anniversary of its “Kill the Clipboard” initiative.
Policy / Regulatory Changes · 67 signals · last 30 days -
Four health systems, including Ochsner and Denver Health, go live with Epic's real-time prior authorization checks
UnitedHealthcare, Network Health and Aetna are among the first group of health plans to go live with the API, while Ochsner Health, Froedtert ThedaCare Health, Denver Health and Summit Health are the four health systems now using the real-time prior auth checks.
UnitedHealthcareAetnaUnitedHealthcare + CVS Health / Aetna · 42 signals · last 30 days -
Providence Health Plan's Medicare Advantage sale falls through
After exploring options for the future, including a sale, Providence Health Plan announced this week that it will cease operations for most of its insurance businesses next year.
Competitive / Operational Strategy · 38 signals · last 30 days -
Medi-Cal plans brace for ‘devastating’ asset limit crunch
California’s Medicaid program, Medi-Cal, is slashing asset limits 84% in July 2027. As a result, Medi-Cal members risk losing eligibility — and insurers are feeling the pressure. In 2022, California lifted the asset limit from $2,000 to $130,000 for individuals. CMS eventually approved a state proposal to drop the asset test, but California resurfaced the […] The post Medi-Cal plans brace for ‘devastating’ asset limit crunch appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 67 signals · last 30 days -
CVS board member resigns, replaced by JPMorgan’s chief data officer
CVS Health has appointed JPMorgan Chase’s Chief Data and Analytics Officer, Teresa Heitsenrether, to its board of directors, effective Nov. 18. The company also announced the departure of board member Larry Robbins, effective Aug. 13. Mr. Robbins, founder and CEO of Glenview Capital Management, had served on CVS’ board since 2024. The post CVS board member resigns, replaced by JPMorgan’s chief data officer appeared first on Becker's Payer Issues | Payer News .
CVS HealthCVS Health / Aetna · 10 signals · last 30 days -
Jackson Hospital, Blue Cross Blue Shield reach deal to keep hospital open
A troubled Montgomery hospital and the state’s largest private health insurance company reached a four-year deal Monday to keep the hospital open after years of financial woes. The deal between Jackson Hospital and Blue Cross and Blue Shield of Alabama is contingent on the hospital emerging out of bankruptcy, said John Quinlivan, Jackson Hospital’s president […]
Blue Cross Blue Shield plans · 20 signals · last 30 days -
Aetna cuts Medicare Advantage commissions for 2027 sales
Medicare Advantage carriers continue to take a cautious approach to enrollment amid high costs.
AetnaCVS Health / Aetna · 10 signals · last 30 days -
Kaiser Permanente notches 4.6% Q2 operating margin, $5.3B net income
The country's largest nonprofit health system outlined a 10.9% year-over-year increase in operating revenues for the quarter ended June 30.
KaiserKaiser Permanente · 5 signals · last 30 days -
BCBS Massachusetts logs $83.4M Q2 profit
Blue Cross Blue Shield of Massachusetts earned $83.4 million in after-tax second-quarter profit. This was made up of $35.7 million in operating and other income, as well as $47.7 million in investment income. The insurer’s revenue was $2.7 billion, marking a net margin of 3%. During the same period in 2025, BCBS Massachusetts had a […] The post BCBS Massachusetts logs $83.4M Q2 profit appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 20 signals · last 30 days -
AHA comments on CMS proposal to codify Medicare Drug Price Negotiation Program regulations
The AHA Aug. 17 provided comments to the Centers for Medicare & Medicaid Services on its proposed rule to codify in regulation the Medicare Drug Price Negotiation Program. The AHA recommended CMS require drug manufacturers to make the maximum fair price available through a point-of-sale mechanism and eliminate any option permitting manufacturers to meet their obligations through retrospective rebates or post-sale reconciliations. The AHA expressed concerns that permitting retrospective MFP ef...
Policy / Regulatory Changes · 67 signals · last 30 days -
STAT+: The IRS is probing UnitedHealth, and a private equity slowdown
UnitedHealth faces an investigation over tax payments, and we examine why PE deals for doctor groups are slowing.
UnitedHealthUnitedHealthcare · 34 signals · last 30 days -
UnitedHealth disputes IRS proposal to boost tax bill
UnitedHealth Group received notices of proposed adjustment from the IRS March 6, the company shared in quarterly Securities and Exchange Commission filings. The transactions facing possible tax adjustment spanned 2017 through 2020 and involved transfer pricing with an unnamed foreign subsidiary. The filings said the agency “is seeking to significantly increase taxable income” for the […] The post UnitedHealth disputes IRS proposal to boost tax bill appeared first on Becker's Payer Issues | Pa...
UnitedHealthUnitedHealthcare · 34 signals · last 30 days -
Medicare Advantage has always demanded accuracy. What’s changed is the level of scrutiny.
The Medicare Advantage (MA) landscape is entering a new chapter. For the first 25 years of the program, success was largely measured by how effectively organizations captured and supported HCCs while maintaining coding accuracy. That objective hasn’t changed. What has changed is the scorecard. As CMS expands RADV across all Medicare Advantage contracts, implements CMS-HCC […] The post Medicare Advantage has always demanded accuracy. What’s changed is the level of scrutiny. appeared first on B...
Policy / Regulatory Changes · 67 signals · last 30 days -
Centene CFO to step down, replacement named
Centene CFO Drew Asher is stepping down at the end of 2026. According to an Aug. 17 news release, Mr. Asher will retire at the end of 2027, staying with the company next year to ensure a smooth transition. Mr. Asher assumed the CFO role in 2021. He was the company’s second-highest-paid executive in 2025, […] The post Centene CFO to step down, replacement named appeared first on Becker's Payer Issues | Payer News .
CenteneCentene · 11 signals · last 30 days -
Centene CFO to step down at year end
Chris Neczypor, the finance chief at Lincoln Financial, will succeed Drew Asher on Jan. 1. Asher plans to retire at the end of 2027.
CenteneCentene · 11 signals · last 30 days -
Investor suit says UnitedHealth ignored governance, cybersecurity gaps for years
UnitedHealth misled investors, shuttered an internal Medicare billing audit and ignored cybersecurity lapses that led to the historic Change Healthcare cyberattack, according to a lawsuit filed by two shareholder groups.
UnitedHealthUnitedHealthcare · 34 signals · last 30 days -
In Idaho, an insurer says health care costs may rise after hospital taps Congress’s billing tool
Months after one of Idaho’s largest health insurers asked the state for help with unusual billing practices by a North Idaho hospital, the insurer is still waiting for assistance. Blue Cross argues that Post Falls ER & Hospital is out-of-network for health insurers and instead relies heavily on a new arbitration process created by Congress. […]
Blue Cross IdahoBlue Cross Blue Shield plans · 20 signals · last 30 days -
STAT+: UnitedHealth faces IRS probe over potential tax avoidance
The health insurer may face a significant increase in taxes, amid a dispute with federal authorities.
UnitedHealthUnitedHealthcare · 34 signals · last 30 days -
Why the first 24 hours after discharge matter for star ratings
Why leading Medicare Advantage plans are rethinking care transitions.
Policy / Regulatory Changes · 67 signals · last 30 days -
Why CMS’ Medicaid waiver pullback matters to providers
CMS risks raising costs for states, weakening provider finances and limiting Medicaid innovation as it curbs 1115 waivers.
Policy / Regulatory Changes · 67 signals · last 30 days