News
Humana’s earnings fall on Medicare Advantage challenges
6+ hour, 16+ min ago (530+ words) Humana, the country's second-largest Medicare Advantage insurer, pointed to rising medical costs due in large part to increased utilization of services and an'Advance Notice payment rate for MA that executives said came in below the medical cost trend, for its…...
Medicare Advantage insurers get a .09% payment increase in Advance Notice
2+ week, 1+ day ago (308+ words) Medicare Advantage insurers get a .09% payment increase for 2027 should the Advance Notice released on Monday be finalized. During an earnings call on Tuesday morning, UnitedHealth Group Chairman and CEO Stephen Hemsley called the rate "disappointing." The Centers for Medicare and…...
Medicare Advantage insurers get a 0.09% payment increase in Advance Notice
2+ week, 1+ day ago (308+ words) Medicare Advantage insurers get a 0.09% payment increase for 2027 should the Advance Notice released on Monday be finalized. During an earnings call Tuesday morning, UnitedHealth Group Chairman and CEO Stephen Hemsley referred to the rate as "disappointing." The Centers for Medicare…...
UnitedHealth Group will rebate ACA profits, CEO says
2+ week, 6+ day ago (602+ words) UnitedHealth Group CEO Stephen Hemsley testifies Thursday before the House Energy and Commerce Committee Health Subcommittee. UnitedHealth Group will rebate profits made from its Affordable Care Act plans to customers, Chairman and CEO Stephen Hemsley said in a prepared statement…...
Medicare Advantage payments exceed that of original Medicare
3+ week, 1+ day ago (197+ words) Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, according to a report by the Medicare Payment Advisory Commission (MedPAC). MedPAC, which provides Congress with policy and analysis, found this year's projected comparison of…...
UnitedHealth is gaming the MA system, Senate committee report finds
4+ week, 1+ day ago (546+ words) Sen. Chuck Grassley (R-Iowa), chairman of the Senate Committee on the Judiciary Sen. Chuck Grassley (R-Iowa), chairman of the Senate Committee on the Judiciary, has released a majority staff report that claims UnitedHealth is gaming the Medicare Advantage system and…...
CMS releases form for providers to submit complaints about Medicare Advantage plans
1+ mon, 2+ day ago (164+ words) The Centers for Medicare & Medicaid Services has implemented an'online form for providers to submit complaints regarding Medicare Advantage plans.' CMS announced the form in a'memorandum issued Dec. 22 that went out to Medicare Advantage Organizations.' As of Monday, Jan. 5, CMS expects…...
UnitedHealth delays policy on remote patient monitoring coverage
1+ mon, 1+ week ago (360+ words) Starting Jan. 1, 2026, the insurer was set to limit reimbursement for remote patient monitoring of physiologic services to two conditions, heart failure and hypertensive disorders of pregnancy." UnitedHealthcare is delaying the policy until later in the year. "We are postponing the…...
Humana upgraded by Jefferies on insurer’s Medicare Advantage diversification strategy
2+ mon, 3+ day ago (266+ words) Humana has been upgraded by Jefferies based on its diversification strategy for its Medicare Advantage offerings. The upgrade reflects Humana's success in strengthening its Medicare Advantage portfolio and improving the quality mix of its plans, according to Jefferies analysis. Jeffries…...
Humana again tries to overturn star ratings decision
2+ mon, 1+ week ago (297+ words) Humana is again trying to win its lawsuit against the Centers for Medicare and Medicaid Services over its star ratings designation. On Wednesday, Nov. 26, the day before Thanksgiving, Humana filed a notice of appeal with the federal court in Texas,…...