The Centers for Medicare & Medicaid Services (CMS) on Monday finalized a stronger-than-expected payment update for Medicare Advantage (MA) plans in 2027, backing off from an earlier proposal from the agency that signaled flat funding, which triggered industry concern over benefit cuts and market exits.
CMS said the final rate...
On Monday, the Centers for Medicare and Medicaid Services (CMS) finalized the Rate Announcement for Medicare Advantage (MA) and Medicare Part D programs for Calendar Year (CY) 2025 which includes a rate increase of 3.7% in addition to finalized Part D rules.
The final rule didn't deviate much from the CMS proposed payment rate issued...
Sources familiar with the DOJ interviews have reported to the Wall Street Journal that investigators are asking healthcare representatives in sectors where the insurer competes about the the relationship between UnitedHealthcare insurance unit and its Optum Health Services arm.
UnitedHealth revenue soared to $372 billion last year and...National News
Cigna will no longer pursue a deal to merge with Humana, putting an end to the potential $140 billion health insurance behemoth.
The companies were unable to reach an agreement on price or other terms, the Wall Street Journal reports. WSJ was the first to report last month that the two anticipated reaching a deal by the end of the...
As public and political pressure has risen against prior authorization, insurers are scaling back use of the policy and are openly reforming the process.
Back in February, the American Medical Association (AMA) led 118 other medical organizations to write a letter to the Centers for Medicare and Medicaid Services, specifically...
New research shows 83% of entries in provider directories from America's leading insurers were inaccurate.
Most providers listed in directories from Aetna, Elevance, Cigna, Humana, and UnitedHealth had inaccuracies, but specialty information was much more likely to be accurate. Only 27.9% of physicians had consistently accurate...
As a light emerges at the other end of the pandemic and the stock market surges, insurers and other healthcare companies are looking to a bright future and engaging in a frenzy of capitalistic activity.
According to Home Health Care News, Optum—a part of UnitedHealth—this week reportedly purchased Landmark Health, an in-home...National News
The healthcare sector led the market rally on Wednesday following a Super Tuesday Joe Biden victory that drove stocks higher.
In an emergency decision, the Fed cut rates 50 basis points on Tuesday, offering little relief for the market that closed down 2.8 percent - erasing any intra-day gains. With Biden the clear representative of...Arizona News
OptumCare Arizona has opened another community center geared toward older adults aged 55 and over in Central Phoenix, near 12th St. and Glendale Ave.
The facility will have a fitness center and offer a variety of classes, including Tai Chi, Pilates, knitting, line dancing, zumba, quilting and other arts and crafts, as well as...Arizona News
Last month, a global stock market sell-off sent the S&P 500 into dangerous waters, having analysts discussing potential bear market climates but stocks rallied this week and healthcare was leading the numbers following the midterm elections.
PricewaterhouseCoopers (PwC) released an analysis today regarding the effects midterm...National News
UnitedHealthcare won its case over a 2014 rule implemented by the Centers for Medicare and Medicaid Services (CMS) requiring that Medicare Advantage organizations report and return any identified overpayments. The rule was deemed arbitrary and capricious.
U.S. District Court Judge Rosemary Collyer vacated the rule in its entirety,...
