Though Medicare Advantage beneficiaries are more likely to have coverage of vision, dental and hearing services, they are not more likely to use these services than their peers in traditional Medicare ...

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Two relatively new insurers in the Medicare Advantage market saw spikes in enrollment for 2025 Clover Health, launched in 2014, grew its Medicare Advantage membership 27% year-over-year, according to ...

Payer executives are focused on staying adaptable in 2025. Becker's connected with 20 executives to learn how they are leveling up their leadership skills in 2025. Like what you see here? Join us at ...

UnitedHealth Group reported record revenue in 2024, but profits declined as the company continues to grapple with costs associated with the February cyberattack on Change Healthcare and headwinds ...

Centene's 'Ohana Health Plan has partnered with homeless services provider Hope Services Hawaii on a new residential program for integrated clinical care. The program will provide housing support for ...

Oklahoma Medicaid Director Traylor Rains is leaving the role at the end of January for a job with consulting firm Deloitte, StateImpact Oklahoma reported Jan. 17. Mr. Rains has served as the state's ...

Solera Health has received $40 million in Series E financing, co-led by Health Care Service Corp., Cobalt Ventures, Horizon Mutual Holdings, and Adams Street. HCSC is the parent company of five BCBS ...

Alignment Healthcare has promoted Dawn Maroney to president. Ms. Maroney was previously president of markets and CEO of Alignment Health Plan, according to a Jan. 13 news release. The Orange, ...

CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage star ratings. Alignment Healthcare is the latest MA insurer to sue CMS, alleging it acted wrongfully when assigning 2025 ...

HHS has rescinded a proposal to require ACA plans to cover over-the-counter contraceptives, Politico reported Jan. 14. Officials told the outlet the rule was rescinded to allow the agency to "focus on ...

CMS will implement policies meant to crack down on fraud in the ACA marketplace. The agency published the 2026 final rule for ACA plans Jan. 13, and the regulations take effect Jan. 15. CMS will ...