Sanford Health Plan and Lincoln, Neb.-based Bryan Health will launch a joint Medicare Advantage plan in 2026. Sanford Health Plan is owned by Sioux Falls, S.D.-based Sanford Health. The plan will ...

CMS has moved the deadline to enroll in federally facilitated marketplace coverage from Dec. 15 to Dec. 18 for benefits that begin in the new year. The change applies to the 31 states that use the ...

From CMS finalizing a rule aimed at streamlining the process to UnitedHealthcare launching a gold-card program, here are four key prior authorization updates Becker's reported in 2024: 1. A new CMS ...

HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage. The December ...

2024 was a tumultuous year for Medicare Advantage. Increased government scrutiny, tighter CMS regulations, reduced base payments and rising healthcare costs are putting pressure on the program.

Payers partnered with Google, Instacart and other tech companies in 2024. Here are eight deals to note from this year: Molina Healthcare partnered with Instacart in Michigan to address food insecurity ...

UnitedHealth Group has agreed to pay $69 million to settle a class-action lawsuit that alleged the company prioritized its business relationship with Wells Fargo over concerns that its 401(k) plan ...

In the wake of the targeted killing of UnitedHealthcare CEO Brian Thompson, the New York Police Department is warning other health insurance executives that their safety could also be at risk.

Medicare Advantage plans must comply with new network adequacy and health equity standards in 2025. Here are five policy changes taking effect in 2025: CMS will require Medicare Advantage plans to ...

Payer business operations are often cumbersome due to siloed departmental management. This fragmentation creates friction for navigating customer service and addressing complex inquiries across the ...