Longevity Health has earned a 5-star Medicare Advantage rating for its New Jersey Institutional Special Needs Plan, giving the payer its third 5-star contract following CMS’s recalculation of 2026 ...

Federal prosecutors and auditors are targeting Medicaid behavioral health fraud on multiple fronts, with billions in alleged false claims under scrutiny nationally and two states alone facing audit ...

Charleston, S.C.-based MUSC Health and Cigna have extended their current contract through Aug. 31 as they continue negotiations on a new agreement. The health system shared the update June 24. MUSC ...

Marketplace enrollment soared at over 24 million plan selections for 2025, but the enhanced premium tax credits that enabled this surge are set to expire at the end of the year. Some 4.8 million ...

CMS’ Transparency in Coverage final rule took effect July 1, requiring payers nationwide to publish the cost of nearly every healthcare service they’ve negotiated with providers. In-network rate file: ...

Indianapolis-based Elevance Health has reached a settlement with a former executive who left the company for a similar role at Long Beach, Calif.-based Molina Healthcare. According to a Nov. 2 notice ...

UnitedHealth is still the largest Medicare Advantage carrier in the country, while CVS Health recorded 15% growth in MA membership during the annual enrollment period, according to an analysis ...

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...

There are 3,719 Medicare Advantage plans available nationwide in 2025. The number of plans available to the average beneficiary is 42. 15 insurers exiting Medicare Advantage markets in 2025: This ...

UnitedHealth Group continues to be the largest health insurer in the U.S., with nearly 45 million members in 2025, according to the Peterson-KFF health system tracker. The data is from Mark Farrah ...

There are major changes afoot for Medicare Advantage plans in 2024 and when they are required to cover inpatient services in hospitals for their members. The changes are likely to present challenges ...

CMS proposed its 2027 Medicare Advantage and Part D capitation rates and payment policies Jan. 26, putting forth a slowdown in payment growth after a $25 billion boost for 2026. The proposed policies ...