Groups representing insurers are pushing back on proposed tighter regulations on Medicare Advantage coding. Senate Republicans are considering targeted changes to Medicare Advantage as part of the ...

Cigna Healthcare offers the best digital experience to commercial members, while UPMC Health Plan provides the best experience to Medicare Advantage enrollees, according to J.D. Power’s 2025 U.S.

CMS will audit every Medicare Advantage plan for potential overpayments annually, in what the agency called an “aggressive” plan to step up oversight. According to a May 21 news release, the agency ...

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 ...

Medicare Advantage insurer Devoted Health has laid off 120 employees, a small percentage of its more than 2,000 employees. “Devoted Health’s recent workforce changes are in line with our ongoing ...

Patient expectations will push healthcare to evolve by 2030, according to 23 payer executives. Leaders said AI, new models of care and a push toward convenience will transform healthcare in the next ...

Centene’s Medicare Part D enrollment is nearing 8 million members. According to CMS enrollment data from March 2025, Centene leads the nation in Medicare Part D membership with 7.92 million enrollees.

House Republicans are looking to finalize the details of their budget reconciliation package by the end of the month, which would include major changes to ICHRAs. The insurance model allows employees ...