The ACA marketplace hit a record enrollment high of 21 million in 2024, buoyed by federal premium subsidies. In 2020, ACA enrollment was 11 million.

More hospitals are cutting ties with Medicare Advantage plans, and some insurers are bracing for membership losses in 2025. Here are seven Medicare Advantage updates Becker's has reported since May 8. 

Centene will provide around $900 million in funding to affordable housing efforts. 

Vermont Gov. Phil Scott has signed a bill to reform the prior authorization process in the state.

GuideWell subsidiary WebTPA, a health benefits administrator, has started notifying more than 2.4 million members about a data breach that occurred in April 2023, The HIPAA Journal reported May 20.

Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. 

Preventive care delivery is one of the inalienable levers of value-based care (VBC). With the increasing VBC adoption, many healthcare payers have been offering care management programs that aim to promote overall member wellness by managing members’ medical conditions and preventing progression of chronic diseases.

Here are eight lawsuits, settlements and legal developments involving payers that Becker's has reported since April 1: 

Medicare Advantage is the dominant form of Medicare, and questions loom for payers, providers and policymakers alike in the year ahead. 

Blue Shield of California has appointed two new senior executives. 

Employer adoption of ICHRAs is up 29% since 2023, according to a May 16 report from the HRA Council.

UnitedHealthcare is looking to lease 87,000-square-feet of office space in suburban Green Bay, Wis. following the company's move to more hybrid work schedules, CoStar News reported May 14.

North Platte, Neb.-based Great Plains Health plans to stop contracting with Medicare Advantage plans in 2025. 

Medicare spending on GLP-1 medications may not be as high as some estimates predict if coverage was expanded to cover weight loss, according to an analysis from data firm Intensity. 

Health Care Service Corp. is planning a 132,000-square-foot office in southwest Houston. 

UnitedHealth Group is facing a proposed securities fraud class-action lawsuit alleging that the company failed to disclose that the Justice Department opened an antitrust investigation into the company. 

In 2024, Medicare Advantage plans must provide coverage for an inpatient admission when the admitting physician expects the patient to require hospital care for at least two midnights, otherwise known as the two-midnight rule.

UnitedHealth Group is shuffling its top legal lineup. 

Blue Cross Blue Shield of Michigan has named Tricia Keith as its next president and CEO, effective in 2025. 

UnitedHealth Group executives said they're not planning any major shakeups to their Medicare Advantage business as other insurers plan to pull back their offerings in 2025.