Molina Healthcare reports higher medical loss ratios and ACA membership growth amid Medicaid rate adjustments and regulatory challenges in Q1 results. Upcoming 2025 guidance reflects cautious optimism.
Elevance Health outperforms competitors by managing Medicare Advantage costs effectively and driving robust growth in its Carelon segment, bolstering its 2025 outlook and earning a Strong Buy rating with growth potential.
Federal court permits whistleblower's False Claims Act allegations against UnitedHealthcare for improper Medicare Advantage billing to move forward, highlighting legal risks in healthcare billing compliance.
Dr. Mehmet Oz confirmed as CMS Administrator with mandate to protect and grow Medicare Advantage, improving care and reducing costs for seniors.
In 2024, UnitedHealth CEO Andrew Witty earned $26.3 million, leading health insurance payer executive compensation amid manageable Medicare Advantage costs and leadership changes in major firms.
Study reveals shifting patterns in home health care use among Medicare Advantage enrollees, highlighting implications for care quality, equity, and policy in U.S. Medicare programs.
2024 health insurer CEO pay ratios reveal top executives earning up to 370 times median staff. Medicare Advantage costs remain elevated but manageable as per insurers' financial disclosures.
Explore critical U.S. public health and policy updates affecting healthcare insurance, including COVID-19 booster guidance, AI diagnostics, Medicare Advantage reforms, and expanding HIV challenges in Texas.
Medicare beneficiaries face higher costs as Part D plans shift from fixed co-pays to coinsurance for expensive Tier 3 drugs, raising out-of-pocket expenses significantly.
UnitedHealth Group reports significant OptumHealth underperformance driven by higher Medicare Advantage utilization and risk adjustment challenges, raising profitability concerns and prompting strategic prioritization of patient engagement.
