Molina Healthcare, Inc. announced that it will acquire Magellan Complete Care from Magellan Health, Inc. on April 30, 2020.
“We believe it will allow us to scale our enterprise-wide platforms...
Medicare Advantage plans are continuing along a trend of burgeoning enrollment and rising quality, although costs for certain services may be more expensive than traditional Medicare, according to...
Private payers pay nearly double the amount that Medicare pays for certain services and a hospital’s market share play a significant role in the positive margin, a recent literature review...
In the wake of major legislation including the Families First Coronavirus Response Act, there are still opportunities for Congress to step up its financial assistance for employers, employees,...
The hole that coronavirus leaves in private payer, Medicare, and Medicaid healthcare spending is largely reliant on the length of the outbreak and how much a dip in elective procedures offsets...
UnitedHealth Group Research & Development and OptumCare clinicians have determined that self-administered COVID-19 tests are as effective as provider-administered tests and may extend resources and...
America’s Health Insurance Plans (AHIP) committed to supporting provider partners, specifically hospitals and health systems, as they combat coronavirus.
For more coronavirus updates, visit...
Despite having generally the same level of disability as Medicare beneficiaries in a traditional fee-for-service model, Medicare Advantage beneficiaries have lower spending and lower cost burden, a...
CMS has released guidance regarding how Medicare Advantage and Part D Plans can properly respond to the COVID-19 outbreak.
For more coronavirus updates, visit our resource page, updated twice...
Updated 03/13/2020: This article has been updated to include information from a CMS FAQ regarding essential health benefit coverage.
Updated 3/27/2020: Since this article was originally published...
The Best’s Market Segment Report, a global insurance credit rating agency, publisher, and data analytics provider, has projected tighter margins but an overall stable outlook for 2020 for most...
Eighteen Blue Cross Blue Shield Association companies will be forming a subsidiary to handle high outpatient generic medication spending and combat drug shortages, announced Blue Cross Blue Shield...
CMS has finalized a proposed rule to provide Medicare coverage to chronic low back patients accessing acupuncture, which furthers the administration’s efforts to address the opioid...
Medicare Advantage has a significant cost reduction value over traditional, fee-for-service Medicare, a recent report from UnitedHealth Group (UHG) found.
“Medicare Advantage (MA) plans cover...
Price tags of life-saving treatments are continuing to increase, with nearly $150 billion being spent nationally per year for cancer care, four times more than treatment for other common health...
Maine law now requires payers to provide hearing aid coverage, but leaves self-insured companies exempt from covering them.
Representative Jim Handy (D-ME) has noted both social and professional...
The clash between healthcare expectations and the reality of the health system leads Americans wanting healthcare reform. This presents a roadblock when the political system is resistant to change the...
Update 12/6/2019: This article has been updated to reflect that the 8 and 10 percent voluntary shifts happened in unsubsidized MA plans and Medicare prescription drug plans, respectively. An earlier...
UnitedHealthcare (UHC) has announced a partnership with Walgreens and AARP that will open service centers for Medicare members in the store and provide added benefits to UHC’s Medicare Advantage...
While HHS celebrated the lowest Medicare fee-for-service improper payment rates in nearly ten years, eligibility complexities and fraud have racked up false payments in Medicaid and the...
