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 ...

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 ...

Medicare Advantage companies are bringing in billions in "questionable" payments found during in-home visits and chart-reviews, HHS' Office of Inspector General claimed in a new audit. In a report ...

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 ...

Cigna's board of directors declared a $1.40 per share cash dividend to be paid on Dec. 19. The dividend will be paid to shareholders of record as of the close of business Dec. 4, according to a Oct.

From renewed talks of a potential merger with Cigna to filing a lawsuit against CMS over its 2025 star ratings, here are 10 updates on Humana that Becker's has reported since Aug. 16: 1. Former Humana ...

UnitedHealth Group has reached a settlement with the U.S. Department of Labor over allegations that it improperly denied claims for emergency room visits and urinary drug screenings for thousands of ...

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 ...

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 ...

Oscar Health is rolling out new plans for 2025. The insurer will offer individual plans in 504 markets in 18 states, according to an Oct. 21 news release. Oscar will add new markets in Texas, Oklahoma ...

Define Ventures, a venture capital firm focused on early-state health tech companies, has named former Humana president and CEO Bruce Broussard as venture partner. Mr. Broussard will partner closely ...