State Intelligence — Washington
Signals referencing this state across all sources.
43 signals
-
“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 -
Fierce Healthcare Regulatory Recap: CMS releases 2027 MA star ratings; HHS awards $28M for falls prevention
The latest news from CMS, HHS and more across Washington, D.C.
Policy / Regulatory Changes · 140 signals · last 30 days -
Better Medicare Alliance Responds to 2027 Medicare Advantage Star Ratings Announcement
WASHINGTON — Better Medicare Alliance (BMA) today released the following statement in response to the Centers for Medicare & Medicaid Services’ (CMS) release of the 2027 Medicare Advantage Star Ratings … Continue reading "Better Medicare Alliance Responds to 2027 Medicare Advantage Star Ratings Announcement" The post Better Medicare Alliance Responds to 2027 Medicare Advantage Star Ratings Announcement appeared first on Better Medicare Alliance .
Policy / Regulatory Changes · 140 signals · last 30 days -
Washington health system launches an insurance plan
Tacoma, Wash.-based MultiCare Health System is launching a health insurance plan. MultiCare Health Plan, announced Oct. 1, will operate as a wholly owned subsidiary of the 13-hospital nonprofit system. Its first product is a Medicare Advantage HMO with prescription drug benefits, which will be available for the 2027 plan year in three counties in Washington […] The post Washington health system launches an insurance plan appeared first on Becker's Payer Issues | Payer News .
-
STAT+: Trump’s watered-down Medicare drug pricing rule saves 96% less than initial proposal
WASHINGTON — The Trump administration published a final rule aimed at lowering Medicare prices for drugs administered in doctor offices. It applies to only four companies. The Global Benchmark for…
Policy / Regulatory Changes · 140 signals · last 30 days -
Better Medicare Alliance Unveils 10-Point Policy Roadmap to Protect Medicare Advantage Affordability, Choice and Stability
Agenda calls for faster prior authorization decisions, stronger oversight of in-home health risk assessments, a next-generation risk model and greater stability for more than 35 million beneficiaries WASHINGTON — Better … Continue reading "Better Medicare Alliance Unveils 10-Point Policy Roadmap to Protect Medicare Advantage Affordability, Choice and Stability" The post Better Medicare Alliance Unveils 10-Point Policy Roadmap to Protect Medicare Advantage Affordability, Choice and Stability a...
Competitive / Operational Strategy · 36 signals · last 30 days -
Better Medicare Alliance Responds to CMS 2027 Medicare Advantage Premiums and Plan Landscape
WASHINGTON — Better Medicare Alliance (BMA), the nation’s leading research and advocacy organization supporting Medicare Advantage, today issued the following statement in response to the Centers for Medicare & Medicaid … Continue reading "Better Medicare Alliance Responds to CMS 2027 Medicare Advantage Premiums and Plan Landscape" The post Better Medicare Alliance Responds to CMS 2027 Medicare Advantage Premiums and Plan Landscape appeared first on Better Medicare Alliance .
Policy / Regulatory Changes · 140 signals · last 30 days -
SCAN expands into Oregon by partnering with assisted-living organization
SCAN Health Plan is expanding into Oregon through a partnership with The Springs Living, an independent-living, assisted-living and memory care provider for older adults. The expansion brings the Medicare Advantage insurer into Oregon’s Clackamas and Washington counties. SCAN and The Springs Living will also launch co-branded products available Jan. 1. “The future of healthcare for […] The post SCAN expands into Oregon by partnering with assisted-living organization appeared first on Becker's...
SCAN Health Plan · 12 signals · last 30 days -
Tribes hit hard by wildfires face health effects, cultural losses
Neighbors across the Colville Tribes communities in Washington state knew Matilda Bob’s log home as the “rainbow house,” for its brightly painted exterior. Now it’s gone. Sparked by a lightning strike in mid-July, the Kaiser Canyon Fire destroyed Bob’s home and 42 other houses on the Colville Reservation, along with 100 outbuildings such as sheds […]
Kaiser WashingtonKaiser Permanente · 4 signals · last 30 days -
CMS says all states have applied for GENEROUS Model to provide most-favored-nation drug pricing
The Centers for Medicare & Medicaid Services announced Sept. 18 that all 50 states, Washington, D.C., and Puerto Rico have applied to participate in its initiative to make certain prescription drugs available to people with Medicaid at prices aligned with those paid in other countries, known as most-favored-nation pricing. The initiative, called the GENErating cost Reductions fOr U.S. Medicaid (GENEROUS) Model, is being implemented by the CMS Innovation Center. CMS said that 40 states and Pue...
Policy / Regulatory Changes · 140 signals · last 30 days -
Wildfires threaten tribes’ health, income and cultural traditions
Neighbors across the Colville Tribes communities in Washington state knew Matilda Bob’s log home as the “rainbow house,” for its brightly painted exterior. Now it’s gone. Sparked by a lightning strike in mid-July, the Kaiser Canyon Fire destroyed Bob’s home and 42 other houses on the Colville Reservation, along with 100 outbuildings such as sheds […]
Kaiser WashingtonKaiser Permanente · 4 signals · last 30 days -
Tribes hit hard by wildfires face health effects, cultural losses
Neighbors across the Colville Tribes communities in Washington state knew Matilda Bob’s log home as the “rainbow house,” for its brightly painted exterior. Now it’s gone. Sparked by a lightning strike in mid-July, the Kaiser Canyon Fire destroyed Bob’s home and 42 other houses on the Colville Reservation, along with 100 outbuildings such as sheds […]
Kaiser WashingtonKaiser Permanente · 4 signals · last 30 days -
UnitedHealthcare taps Washington COO
De’Shanel Childs joined UnitedHealthcare as its COO in Washington state, according to a recent LinkedIn post. She had previously been a regional director of operations for Consumer Direct Care Network, a self-directed home care enterprise. Prior, Ms. Childs served in leadership capacities at Propeller Health, a former manufacturer under ResMed that worked on chronic disease […] The post UnitedHealthcare taps Washington COO appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare WashingtonUnitedHealthcare · 46 signals · last 30 days -
Democrats in talks about expanding Medicare, breaking up large insurers: Report
House Democrats are discussing a healthcare policy agenda that could include an expansion of the Medicare program, the Washington Post reported Sept. 3. House Minority Leader Hakeem Jeffries told NBC News that reversing the Medicaid cuts under H.R.1 and reviving enhanced ACA premium tax credits have “uniform Democratic support” ahead of the midterms. But privately, […] The post Democrats in talks about expanding Medicare, breaking up large insurers: Report appeared first on Becker's Payer Iss...
Financial / Operating Pressure · 30 signals · last 30 days -
Medicare Advantage Spending Comparisons Miss Key Costs and Benefits for Seniors, New Analysis Finds
BMA-commissioned analysis identifies gaps in MedPAC methodology as Commission convenes September meeting WASHINGTON —As the Medicare Payment Advisory Commission (MedPAC) convenes its September meeting, Better Medicare Alliance today released a … Continue reading "Medicare Advantage Spending Comparisons Miss Key Costs and Benefits for Seniors, New Analysis Finds" The post Medicare Advantage Spending Comparisons Miss Key Costs and Benefits for Seniors, New Analysis Finds appeared first on Bette...
-
UnitedHealthcare taps CEO for Washington state Medicaid plan
UnitedHealthcare Community Plan of Washington has named Scott Williams as CEO. According to an August LinkedIn post, Mr. Williams will work with members, providers, community groups, tribes and state leaders in his role with the Medicaid managed care plan. Prior to this position, Mr. Williams was a vice president of network contracting with UnitedHealth Group. […] The post UnitedHealthcare taps CEO for Washington state Medicaid plan appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
CMS Announces Resources, Flexibilities to Assist with Public Health Emergency in the State of Washington
CMS Announces Resources, Flexibilities to Assist with Public Health Emergency in the State of Washington The Centers for Medicare & Medicaid Services (CMS) announced today additional resources and flexibility available in response to a Public Health Emergency (PHE) in Washington state due to emergency conditions resulting from major wildfires, including the Fairview, Autumn Lane, and Old Trails fires near Spokane County beginning Aug.1, 2026, and continuing. CMS is working closely with Washin...
Policy / Regulatory Changes · 140 signals · last 30 days -
Elevance to cut 85 jobs amid D.C. Medicaid exit
Elevance Health is laying off 85 employees in Washington, D.C. as part of its move to exit the district’s Medicaid managed care program. The company said the layoffs will take place between Oct. 2 and July 31, 2027 in regulatory documents filed July 27. In its departure announcement earlier this month, Elevance subsidiary Wellpoint DC […] The post Elevance to cut 85 jobs amid D.C. Medicaid exit appeared first on Becker's Payer Issues | Payer News .
Elevance WashingtonElevance Health · 16 signals · last 30 days -
MultiCare, Premera Blue Cross reach preliminary agreement
Tacoma, Wash.-based MultiCare Health System has reached an agreement in principle with Premera Blue Cross, the health system told Becker’s July 29. While details of the contract are still being finalized, MultiCare said Premera commercial members will continue having access to care at the system’s hospitals, clinics and facilities throughout Washington state. “We value our […] The post MultiCare, Premera Blue Cross reach preliminary agreement appeared first on Becker's Payer Issues | Payer Ne...
Blue Cross WashingtonBlue Cross Blue Shield plans · 36 signals · last 30 days -
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 .
-
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 · 46 signals · last 30 days -
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 · 36 signals · last 30 days -
ICYMI: Chairman Smith Issues Subpoenas to CCP-Linked Singham Network Nonprofits After Their Refusal to Comply with Committee Oversight
WASHINGTON, D.C. – House Ways and Means Committee Chairman Jason Smith (MO-08) announced the Committee has issued subpoenas to BreakThrough News,... The post ICYMI: Chairman Smith Issues Subpoenas to CCP-Linked Singham Network Nonprofits After Their Refusal to Comply with Committee Oversight appeared first on Ways and Means .
-
Whistleblower alleges Cambia knowingly kept Medicare Advantage overpayments
A former employee of Cambia Health Solutions has accused the Portland, Ore.-based company of violating the False Claims Act by knowingly submitting inaccurate diagnosis data to CMS and failing to return Medicare Advantage overpayments. The whistleblower complaint, originally filed in 2020, was unsealed July 20 in a Washington state federal court. During that period, the […] The post Whistleblower alleges Cambia knowingly kept Medicare Advantage overpayments appeared first on Becker's Payer Is...
Policy / Regulatory Changes · 140 signals · last 30 days -
Medicare Advantage Beneficiaries Spend 36% Less on Out-of-Pocket Costs Than Those in Traditional Medicare — and the Gap Keeps Growing
Despite cost savings, MA beneficiaries report equal or better satisfaction with care quality than similar Fee-For-Service Medicare beneficiaries WASHINGTON — A new independent analysis finds Medicare Advantage beneficiaries spent … Continue reading "Medicare Advantage Beneficiaries Spend 36% Less on Out-of-Pocket Costs Than Those in Traditional Medicare — and the Gap Keeps Growing" The post Medicare Advantage Beneficiaries Spend 36% Less on Out-of-Pocket Costs Than Those in Traditional Medica...