News
How CMS plans to transform the health insurance exchanges
6+ hour, 16+ min ago (33+ words) How CMS plans to transform the health insurance exchanges'Modern Healthcare News How CMS plans to transform the health insurance exchanges The first step is withholding $259 million in funding to Minnesota's Medicaid program....
Insurers renew promises that a rebound is just around the corner
1+ week, 1+ day ago (113+ words) Health insurance executives are doing all they can to convince investors that good times are ahead. Medicare Advantage enrollment 2026: Winners and losers By: Nona Tepper, Kevin Davis How Intermountain saved $1B " and why more cuts are ahead Intermountain Health has reduced…...
Medicare Advantage enrollment 2026: Winners and losers
1+ week, 1+ day ago (80+ words) Medicare Advantage enrollment 2026: Winners and losers'Modern Healthcare Medicare Advantage enrollment 2026: Winners and losers - Medicare Advantage enrollment totaled 35.5 million as of Feb. 1, a 3.2% increase from a year ago. - UnitedHealthcare, Elevance Health, Aetna and Centene decreased their memberships, while Humana gained beneficiaries....
Humana puts on brave face amid surprise Medicare growth
2+ week, 1+ day ago (38+ words) Humana puts on brave face amid surprise Medicare growth'Modern Healthcare News Humana puts on brave face amid surprise Medicare growth Healthcare had the largest job growth again in January, but it's still seeing lower growth than recent years....
Molina eyes acquisitions amid Medicare Advantage exit
2+ week, 6+ day ago (33+ words) Molina eyes acquisitions amid Medicare Advantage exit'Modern Healthcare News Molina eyes acquisitions amid Medicare Advantage exit The new PBM law is "just the beginning," and now group purchasing organizations are in the crosshairs....
Molina retreats from Medicare Advantage after forecast miss
2+ week, 6+ day ago (34+ words) Molina retreats from Medicare Advantage after forecast miss'Modern Healthcare News Molina retreats from Medicare Advantage after forecast miss The model would have upended longstanding drug discounts of as much as 50% for provider participants....
Why hospital-owned Medicare Advantage plans are gaining traction
3+ week, 5+ day ago (31+ words) Why hospital-owned Medicare Advantage plans are gaining traction'Modern Healthcare Why hospital-owned Medicare Advantage plans are gaining traction The legislation's passage comes too late to avoid a partial government shutdown....
The strategies hospitals are using to prevent readmissions
4+ week, 6+ hour ago (38+ words) The strategies hospitals are using to prevent readmissions'Modern Healthcare The strategies hospitals are using to prevent readmissions The Wasteful and Inappropriate Service Reduction Model, or WISeR, is meant to root out wasteful spending in fee-for-service Medicare....
Medicare prior authorizations off to a rocky start, providers say
4+ week, 11+ hour ago (33+ words) Medicare prior authorizations off to a rocky start, providers say'Modern Healthcare Medicare prior authorizations off to a rocky start, providers say "It was our best growth year ever," Carelon President Peter Haytaian said....
CMS authors plot twist in Medicare Advantage comeback story
4+ week, 1+ day ago (35+ words) CMS authors plot twist in Medicare Advantage comeback story'Modern Healthcare News CMS authors plot twist in Medicare Advantage comeback story The Medicare Advantage revival might come later than insurers such as UnitedHealthcare and Humana hoped....