Payers have faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. 11 recent examples of payers fined or agreeing to settlements with ...

Eighteen insurers have exited Medicare Advantage markets for 2025, with more than 1.8 million people currently enrolled in plans that will not exist next year, according to OliverWyman. Market exits ...

Elevance Health is laying off 123 employees across California, according to regulatory documents filed with the state Oct. 14. Elevance will lay off 59 employees at Anthem Blue Cross in Woodland Hills ...

Subsidiaries of Aetna and Humana received millions in Medicare Advantage overpayments in 2017 and 2018, the HHS Office of Inspector General alleged in audits published Sept. 25. The OIG estimated that ...

Gordon Smith has been elected to Humana's board of directors. Mr. Smith currently serves as an operating advisor for private equity firm Clayton, Dubilier & Rice, according to an Oct. 23 Humana news ...

CMS has lifted an enrollment suspension on a UnitedHealthcare subsidiary's Medicare Advantage plan following three years of not meeting the required 85% medical loss ratio. In September 2023, CMS ...

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Centene is the latest insurer challenging CMS' star ratings in court. In a lawsuit filed Oct. 22, Centene asked a federal judge to require CMS to recalculate its star rating without including a secret ...

Vice President Kamala Harris has proposed expanding Medicare coverage for home healthcare, NPR reported Oct. 8. Ms. Harris explained the details of her proposal on daytime talk show The View, campaign ...