The 2024 Michigan Health Market Review details Medicaid enrollment declines, growth in Medicare Advantage and individual plans, and hospital system consolidation impacting payer and provider finances.
Senators introduce bipartisan bill targeting Medicare Advantage overpayments by refining risk adjustment and supporting CMS audits to enhance program integrity and save Medicare billions.
Anthem Blue Cross and Blue Shield in Ohio and OhioHealth finalize a multi-year network participation agreement ensuring uninterrupted access for members across all plan types, emphasizing value-based care metrics.
A detailed analysis of the 2025 Medicare Trustees Report outlines financial projections and key cost drivers including Medicare Advantage's impact and reimbursement challenges.
Rhode Island Attorney General updates consumer resources on UnitedHealthcare Medicare Advantage plan changes due to Brown University Health network removal and CMS special election period.
Agilon Health reports Q2 2025 results with $1.4B revenue, leadership changes, and suspends 2025 guidance amid Medicare Advantage market challenges and strategic operational shifts.
YAML-in-HTML embeds structured, trust-scored insurance data into web pages enhancing AI understanding and regulatory compliance for Medicare Advantage plans.
An overview of expanding health system-owned insurance plans across the U.S. highlighting integrated care, diverse product offerings, and enhanced provider networks.
Exact Sciences gains Buy ratings as Cologuard Plus expands in-network Medicare Advantage coverage, boosting reimbursement and revenue potential in cancer screening diagnostics.
Effective November 2025, Aetna changes Medicare Advantage inpatient admission payments under the Two-Midnight Rule, impacting hospital reimbursements and billing practices.
