Kettering Health in Ohio ends contracts with Medicare Advantage insurers Humana and Devoted Health due to payment and administrative issues, impacting patient plan options for 2026.
Solange De Lahongrais appointed as president of Puerto Rico Medicaid and Medicare Advantage Products Association, focusing on federal funding parity and program sustainability ahead of Medicaid funding expiration in 2027.
UnitedHealth Group, America's largest health insurer, navigates DOJ investigation and CEO changes while planning AI-driven cost reductions and premium hikes. Stock shows undervaluation amid demographic tailwinds.
UnitedHealth Group's stock has plummeted amid concerns over opaque financial reporting and Medicare Advantage upcoding investigations. Analysts demand greater transparency to assess future performance and regulatory impacts in the U.S. health insurance market.
Medicare Advantage plans saw a slower growth in administrative expenses in 2024, with detailed insights from the Sherlock Benchmarks revealing trends in cost drivers and plan management effectiveness.
SelectQuote faces a DOJ investigation and investor lawsuit over alleged deceptive Medicare Advantage sales practices, triggering a sharp stock decline and regulatory scrutiny.
SelectQuote faces a securities class-action lawsuit following DOJ intervention over alleged deceptive Medicare Advantage sales, impacting investor confidence and regulatory compliance in the insurance market.
The federal government starts a 6-year AI-assisted prior authorization pilot in Washington and five other states to improve Medicare coverage decisions for costly procedures.
Jack County Hospital District adopts FY 2025-2026 budget with focus on capital needs, rural ambulance grants, and managing shifts between Medicare Advantage and traditional Medicare claims.
Smart Medigap Plans broadens Medicare supplement offerings in Texas, enhancing coverage options for Medicare beneficiaries including prescription drug and supplemental insurance.
