2+ hour, 56+ min ago   (980+ words) Employer-sponsored insurance paid Virginia doctors an average of 28 percent more than Medicaid managed care plans for the same routine preventive visit, according to a study published this week in JAMA Health Forum that held the billing code constant across five…...

2+ week, 5+ day ago   (763+ words) Aetna will not pay commissions to agents and brokers who enroll new members in 123 Medicare Advantage plans across 33 states for the 2027 plan year, according to the notice the CVS Health subsidiary distributed to third-party marketing organizations last week. The freeze…...

2+ week, 6+ day ago   (685+ words) The last piece of the Providence Health Plan expected to survive is now closing, too. The Oregon-based insurer said it could not reach an agreement with a national carrier to take over its Medicare Advantage business, and that line will…...

3+ week, 2+ day ago   (859+ words) Medicaid work requirements arriving next year sharpen the contradiction. States are preparing to verify that many enrollees are working, volunteering, or studying at least 80 hours per month. That policy sits alongside eligibility rules that penalize disabled people already working when…...

3+ week, 3+ day ago   (712+ words) A federal appeals court has struck down key parts of the formula that determines how much insurers must pay emergency physicians, anesthesiologists, and air ambulance crews when those clinicians are out of network, finding that regulators allowed insurers to build…...

3+ week, 4+ day ago   (869+ words) Minnesota is running a live test of a law written for exactly this situation. Sacramento-based Sutter Health has signed a definitive agreement to acquire Allina Health of Minneapolis, and the state's attorney general is now reviewing whether the deal complies…...

3+ week, 5+ day ago   (822+ words) Millions of Medicaid enrollees are about to receive a letter explaining new work requirements and twice-yearly eligibility checks that take effect in 2027, under a federal mailing deadline that most states are now weeks away from meeting. For households, the immediate…...

4+ week, 2+ day ago   (866+ words) Women in New Hampshire are struggling to get timely health care because there are not enough providers, because cost gets in the way, and because many do not understand what their insurance actually covers, according to a state study released…...

1+ mon, 18+ hour ago   (958+ words) Two people with the same lung function, the same symptoms, and the same physician can leave with different COPD inhalers. Often the difference is not clinical. It is which plan they carry. None of this means formulary management is inherently…...

1+ mon, 1+ day ago   (744+ words) Fifty-one health insurers have asked state regulators for 2027 marketplace premium increases of more than 25 percent, according to an updated analysis that now covers every state. The Peterson-KFF Health System Tracker reviewed 276 Affordable Care Act marketplace insurers across all 50 states and…...