News
Humana’s Jim Rechtin won’t back down on Medicare Advantage
6+ hour, 23+ min ago (38+ words) Humana's Jim Rechtin won't back down on Medicare Advantage'Modern Healthcare Humana's Jim Rechtin won't back down on Medicare Advantage "Would we change our strategy? Absolutely not," Humana President and CEO Jim Rechtin said in an interview....
How a Medicare Advantage proposal could shake up Medicaid
5+ day, 1+ hour ago (39+ words) How a Medicare Advantage proposal could shake up Medicaid'Modern Healthcare How a Medicare Advantage proposal could shake up Medicaid The federal government is eyeing a plan to require Medicare Advantage Chronic Condition Special Needs Plans to be Medicaid carriers....
Independence Blue Cross, Tango partner on home health services
6+ day, 1+ hour ago (42+ words) Independence Blue Cross, Tango partner on home health services'Modern Healthcare News Independence Blue Cross, Tango partner on home health services In the absence of reimbursement certainty, digital health companies that sell to health systems and insurers are focused on return…...
10 executives to watch in 2026
1+ week, 6+ hour ago (29+ words) 10 executives to watch in 2026Modern Healthcare News 10 executives to watch in 2026 Several states are enacting laws related to prior authorization and private equity's role in healthcare....
This exchange open enrollment period is going to be different
2+ mon, 1+ week ago (54+ words) The open enrollment period for health insurance exchange plans begins Saturday as seismic changes shake up the market. This exchange open enrollment period is going to be different Blue Cross Michigan is hiking premiums on its ACA marketplace plans by…...
What to know about Cigna’s and Aetna’s new ‘downcoding’ policies
3+ mon, 3+ day ago (43+ words) Physician and hospital groups are protesting new reimbursement policies Cigna, Aetna and other insurers are implementing. What to know about Cigna's and Aetna's new "downcoding' policies Humana and other health insurance companies are taking steps to avoid new customers in…...
Insurer-health system network contract disputes ramp up
3+ mon, 1+ week ago (34+ words) Reimbursements, administrative burdens and market pressures are contributing to a surge in tough contract negotiations. Insurer-health system network contract disputes ramp up The two organizations will match investments toward new health tech startups....
Regional nonprofit health insurers falling behind competitors
3+ mon, 2+ week ago (43+ words) More than two-thirds of regional nonprofit health insurance companies recorded operating losses in 2024, according to HealthScape Advisors. Regional nonprofit health insurers falling behind competitors The voluntary separation program isn't the only measure the company is considering in response to financial…...
What to know about AHEAD, CMS’ revamped all-payer model
3+ mon, 2+ week ago (47+ words) The Achieving Healthcare Efficiency through Accountable Design model seeks efficiency and quality improvement across Medicare, Medicaid and private health insurance. What to know about AHEAD, CMS" revamped all-payer model The voluntary separation program isn't the only measure the company is…...
Healthcare compensation is up this year. Here’s what to know
3+ mon, 4+ week ago (41+ words) Support staff are seeing big wage gains at hospitals. Healthcare compensation is up this year. Here's what to know Hospitals in Medicaid expansion states could see steep declines in their operating margins in 2027 due to the new federal work requirements....