In 2023, U.S. healthcare spending rose to $4.9 trillion, driven by ACA enrollment and increased medical services usage. This report highlights the significant growth in healthcare expenses and insurance enrollment.

The Improving Seniors’ Timely Access to Care Act of 2024 aims to streamline the Medicare Advantage prior authorization process, reducing administrative burdens and enhancing care access for seniors.

Aetna employees arrested for orchestrating a $1.1 million insurance fraud scheme involving false claims.

Cigna has confirmed it is not pursuing a merger with Humana, impacting stock prices and highlighting industry dynamics.

CVS confronts significant financial hurdles in 2024, primarily due to rising medical costs impacting Aetna's performance and leadership changes. Read about their strategies for recovery.

The OIG warns of inaccuracies in Medicare Advantage risk payments linked to health assessments, proposing CMS audits and stricter regulations.

Humana Inc. files lawsuit against HHS over Medicare Advantage star ratings drop, affecting revenue and quality assessment, amid expansion of health services.

Explore the analysis of prior authorization trends in Medicare Advantage plans from 2009 to 2019, revealing significant insights into healthcare compliance and patient care.

Humana's CEO announces plans to improve Medicare Advantage star ratings through increased investment, aiming to enhance performance for members and investors.

Blue Cross Blue Shield's decision affects 1,600 Medicare Advantage patients at MD Anderson Cancer Center, leading to coverage loss.