Tag: Managed Care

Crowell & Moring Expands Healthcare Litigation Team, Boosts Nationwide Reach

Crowell & Moring expands its healthcare litigation practice with 16 partners from Reed Smith, enhancing nationwide legal services across managed care and healthcare law.

Virginia Bureau of Insurance Defines Material Change Rules for Managed Care Plans

Virginia's Bureau of Insurance clarifies material change filing requirements for managed care plans, emphasizing 5% financial impact threshold and compliance penalties to guide health carriers.

Truist Lowers Centene Price Target to $35, Maintains Buy Rating After Q2 Results

Truist lowers Centene price target to $35 from $42 following Q2 results, citing ongoing cost trend challenges but strong Prescription Drug Plan and Medicare Advantage performance. Buy rating maintained.

UnitedHealth Faces Investor Scrutiny Amid Rising Costs and Regulatory Challenges

UnitedHealth's CEO Stephen Hemsley addresses investor concerns amid rising medical costs, regulatory investigations, and operational challenges affecting the insurer's 2025 earnings forecast and market confidence.

Medicaid Cuts and Work Requirements Threaten Coverage for Millions Nationwide

Medicaid funding cuts and new work verification rules under 2023 tax legislation risk coverage loss for millions, complicate state programs, and shift costs to states.

Cigna Outperforms UnitedHealth Amid Managed Care Sector Challenges

Analyze how Cigna outperforms UnitedHealth in the U.S. managed care sector amid rising medical costs and regulatory challenges. Insights on earnings, valuation, and sector strategy.

Humana Expands Medicaid Managed Care with Virginia Cardinal Care

Humana Healthy Horizons now offers Medicaid managed care coverage to Virginia Cardinal Care beneficiaries, enhancing integrated health services and behavioral health support.

Astrana Health Q1 2025 Results Show Margin Pressure Amid Growth Investments

Astrana Health's Q1 2025 earnings reveal revenue growth offset by margin compression due to Medicaid utilization and integration investments. Key focus on full-risk contracts and regulatory renewals.

Medicaid Coverage Awareness Lags Amid Growing Role of Private Plans and State Branding

Misunderstandings about Medicaid enrollment persist due to state program branding and private insurer administration, complicating policy debates on federal funding cuts.

CMS Fines Three PACE Organizations for Service and Documentation Failures

CMS fines three PACE organizations totaling $142,788 for failure to meet essential service and documentation requirements, highlighting compliance challenges in managed care programs.