Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF. KFF analyzed CMS data on claims denials and appeals for non-group ...
Insurers on the ACA marketplace denied around one in five in-network claims in 2023, according to a report from KFF published Jan. 27. Plans sold on the federal ACA marketplace are required to report ...
An organization representing Medicare Advantage insurers is asking CMS to pause any policy changes to the program not required by law in 2026. In a Jan. 28 press release, the Better Medicare Alliance, ...
CMS has withdrawn its appeal of a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025. Attorneys for the agency filed a notice ...
UnitedHealthcare is cutting more than 150,000 square feet of office space in Maryland Heights, Mo. as many of its employees continue to work remote or hybrid, the St. Louis Business Journal reported ...
GuideWell, the parent company of Florida Blue, is laying off 3% of its workforce across 29 states, First Coast News reported Jan. 22. "GuideWell is committed to providing access to quality health care ...
Almost every state has completed the unwinding of Medicaid continuous coverage, but the process is still causing problems for insurers. Elevance Health saw its Medicaid membership decline by 15% from ...
CMS proposed a payment bump for Medicare Advantage plans in 2026, and insurers are continuing to file challenges over star ratings. Here are seven Medicare Advantage updates Becker's has reported ...
Though Medicare Advantage beneficiaries are more likely to have coverage of vision, dental and hearing services, they are not more likely to use these services than their peers in traditional Medicare ...
A Minnesota federal judge has given preliminary approval to UnitedHealth's agreement to pay $69 million to settle a class-action lawsuit alleging the company prioritized its business relationship with ...
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Appalachian ...
CMS' proposed Medicare Advantage rates for 2026 are moving in the right direction, but still "insufficient" to cover rising costs in the program, according to Elevance Health executives. On a Jan. 23 ...
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