Astrana Health finalizes $708 million acquisition of Prospect Health, expanding its integrated care network and Medicaid, Medicare Advantage, and commercial coverage. The deal enhances provider scale and care delivery capabilities under California's Knox-Keene health plan regulations.
The AHA's Q2 2025 Health Care Plan Accountability Update details key regulatory and legislative changes affecting Medicare Advantage and private health insurer compliance, essential for insurance professionals.
UnitedHealth Group stock falls amid CMS regulatory changes and DOJ probe, presenting high volatility for investors. Insight into earnings impact and market outlook.
Detailed analysis of recent Medicare Advantage enforcement activities focused on broker arrangements, Oak Street settlement, and DOJ False Claims Act litigation impacting healthcare compliance and beneficiary protection.
UnitedHealth Group's stock has dropped over 50% in 2024 amid operational disruptions and DOJ probes, despite strong ROCE. Insights on regulatory risks, Medicare cost pressures, and valuation outlook for investors.
Medicare faces growing financial challenges with rising costs and insolvency risks. Strategic reforms in funding, premiums, and Medicare Advantage are crucial for program sustainability and senior care access.
Major US health insurers commit to streamlining prior authorization to speed medical approvals and reduce patient/provider friction by 2027.
Walmart introduces a personalized nutrition and wellness program for Medicare and Medicaid users, leveraging data to enhance consumer health and challenge competitors like Costco.
UnitedHealthcare's HouseCalls program enhances Medicare Advantage with comprehensive in-home visits, reducing costs and improving outcomes. Explore how this model supports preventive care and chronic condition management for seniors.
The Medicare Part A Hospital Insurance Trust Fund is projected to be insolvent by 2033, accelerating concerns about Medicare's long-term financial sustainability amid rising healthcare costs and aging beneficiaries.
