UnitedHealth Group and home health company Amedisys have agreed to extend the deadline for a planned $3.3 billion merger due to a legal challenge by the Department of Justice. In a Dec. 26 regulatory ...

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Climate change is becoming an increasingly urgent challenge for the health insurance industry, "The top trends that I am following are climate change and geriatric care," Pleasant Radford, Health ...

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.

Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments. According to a Dec. 20 news ...

Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies. Below are workforce reduction efforts or job eliminations that ...

Payers have faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. 12 recent examples of payers fined or agreeing to settlements with ...

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 ...

Humana and CommonSpirit hospitals in Colorado will go out-of-network Jan. 1, 2025. The contract split applies to Humana Medicare Advantage plans, according to a statement CommonSpirit shared with ...

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 ...

California has the highest number of individuals with Medicare Part D coverage, while Washington, D.C. has the lowest amount, according to KFF. The 2024 data from CMS includes standalone Part D and MA ...