CDPHP Achieves High NCQA and CMS Ratings for Commercial and Medicare Plans
CDPHP earns top NCQA and CMS 4.5-star ratings in 2025 for commercial and Medicare health plans, highlighting strong quality and member care in New York's insurance market.
High Stakes in CMS’s 2026 Medicare Advantage Star Ratings
The CMS released 2026 Medicare Advantage star ratings showing mixed results for major insurers. Star ratings affect bonus payments and rebates, impacting insurer revenues and market strategy.
No UPCODE Act Targets $124 Billion Medicare Overbilling to Save Taxpayers
The No UPCODE Act aims to save taxpayers $124 billion by curbing Medicare overbilling practices by insurers like UnitedHealthcare, promoting fiscal responsibility and enhancing Medicare program sustainability.
Sentara Health Plans to End Multiple Medicare Advantage Products by 2025
Sentara Health Plans will discontinue several Medicare Advantage products in Virginia, North Carolina, and Florida by end of 2025 due to financial and regulatory challenges, affecting member coverage options during Medicare open enrollment.
HealthSpring Launches Diverse Medicare Plans for 2026
HealthSpring unveils comprehensive Medicare plans for 2026, featuring enhanced benefits, chronic condition support, and expansive coverage in 29 states and DC. Enrollment opens October 15.
UnitedHealth to Exit Medicare Advantage Plans in 16 Counties Amid Cost and Reimbursement Challenges
UnitedHealth will stop offering Medicare Advantage plans in 16 U.S. counties by 2026 due to CMS funding cuts and rising healthcare costs, impacting 180,000 members and shifting focus to sustainable care models.
Humana and Aetna Reduce Medicare Advantage Coverage Amid Rising Costs
Humana and Aetna reduce Medicare Advantage plan coverage in response to rising costs and government payment challenges, impacting millions of Medicare beneficiaries.
Blue Cross Blue Shield Ends Vermont Medicare Advantage Plans After Significant Losses
Blue Cross Blue Shield to discontinue Vermont Medicare Advantage plans next year after substantial financial losses, impacting 30,000 Vermonters and requiring plan changes.
Nearly All Vermont Medicare Advantage Plans Ending in 2026, Reducing Individual Options
Nearly all individual Medicare Advantage plans in Vermont will end in 2026, with major providers withdrawing coverage and limited options remaining. Learn about the implications for Medicare beneficiaries and available alternatives.
Minnesota Medicare Advantage Plans See Rising Premiums and Market Exits in 2026
In 2026, Minnesota Medicare Advantage plans face average premium hikes of nearly 18% amid provider exits and market disruptions, challenging seniors' coverage options and enrollment decisions.