Today's Top 20 Stories
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Cigna adds HelloFresh benefits for employers
Cigna will offer discounted access to meal kit service HelloFresh to employers. -
Fewer private equity dollars flowing to Medicare Advantage
Facing rising interest rates and regulatory scrutiny, private equity investments in the Medicare Advantage space are slowing down, according to the Private Equity Stakeholder Project. -
The two-midnight rule and Medicare Advantage: 7 updates
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.
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FTC obtains $195M judgment against Florida payer, imposes healthcare ban over 'bogus' product
The FTC has obtained a $195 million judgment in a Florida federal court against Simple Health Plans and its CEO Steven Dorfman for selling and enrolling members in "sham" health plans that "effectively left consumers uninsured and exposed to limitless medical expenses." -
Kaiser Permanente reports health plan membership decline
Kaiser Permanente reported a decline in health plan membership, driven by slowed job growth. -
Will insurers cut back on Medicare Advantage extras?
Challenges in the Medicare Advantage market may force insurers to cut back on extra benefits like vision and dental in 2025, The Wall Street Journal columnist David Wainer wrote Feb. 11. -
Opposition mounts to BCBS Louisiana, Elevance sale
More Louisiana officials are voicing opposition to the planned sale of Blue Cross Blue Shield of Louisiana to Elevance Health.
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How payers stack up on investing in employees
Insurers are outpacing the healthcare industry in investing in workers, according to Just Capital and CNBC's ranking of the "most just" companies. -
UnitedHealth completes sale of Brazilian assets
UnitedHealth Group completed the sale of its health insurance and hospital operations in Brazil, the company said in regulatory documents filed Feb. 6. -
Virginia lawmakers eye insurance coverage for undocumented minors
A Virginia lawmaker has proposed new legislation that would expand health insurance coverage to undocumented residents under the age of 19. The bill passed in the Virginia Senate Feb. 13. -
BCBS plans ranked by profit margin in Q3
Elevance Health had the largest profit margin in the third quarter of 2023 among the leading Blue Cross Blue Shield companies, according to a February analysis by Mark Farrah Associates.
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6 insurers, 6 opinions on rising Medicare Advantage costs
Every major insurer has reported that Medicare Advantage costs are going up. -
Medicare Advantage AI under more fire in Washington
New guardrails for Medicare Advantage plans' use of AI may not be clear enough, experts told members of the Senate Finance Committee. -
Cigna names general manager for North Texas, Oklahoma
Cigna Healthcare has named Mike Cole as general manager for its employer business in North Texas and Oklahoma. -
Optum's plan to buy Oregon physician group gets pushback
Hundreds of people, including physicians, patients and Oregon Senate Majority Whip Sara Gelser Blouin, have urged the state department of health to block Optum's proposed acquisition of Corvallis (Ore.) Clinic, the Corvallis Gazette-Times reported Feb. 8. -
Payers ranked by total membership | Q4 2023
UnitedHealthcare ended 2023 with the largest total membership of large payers across Medicare, Medicaid, military, commercial and individual business. -
CMS issues AI guidance for Medicare Advantage plans
Algorithms and artificial intelligence-powered software tools can be used to support Medicare Advantage plans in making coverage decisions for members, but payers are still bound by CMS' internal benefits requirements and nondiscrimination rules under the ACA, the agency said in guidance to insurers regarding its final 2024 MA rule. -
Former CMS administrator: 'I would like to see Medicare Advantage slowed or stopped'
Medicare Advantage is now the dominant form of Medicare in the U.S., with a projected 54% share by the end of 2024, or more than 33 million enrollees. -
Payers ranked by Medicare Advantage membership | Q4 2023
UnitedHealthcare is still the largest Medicare Advantage insurer in the U.S. -
CVS Health seeks executive director of payer contracting
CVS Health is looking for an executive director of payer contracting to provide strategy and oversight of the company's primary care contracts.
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