Search

The third quarter of 2023 was another mixed bag for major insurers as they continue to grapple with significant headwinds. [ABSTRACT FROM AUTHOR]

Despite reports that merger talks were back on, Cigna officially squashed rumors that it was looking to acquire Humana in a statement on Monday. [ABSTRACT FROM AUTHOR]

An exclusive special report scrutinizes legislative priorities ahead of the presidential election and the lobbying groups pushing for action. [ABSTRACT FROM AUTHOR]

Humana updated its outlook for the year thanks to a third quarter in which it beat the Street on both earnings and revenue. [ABSTRACT FROM AUTHOR]

A watchdog questions whether MA payers are either creating diagnoses out of thin air to inflate Medicare payments or are not providing adequate care. [ABSTRACT FROM AUTHOR]

Longtime Humana CEO Bruce Broussard departed the company over the summer, and, now, he's made his next move. [ABSTRACT FROM AUTHOR]

Cigna has brought merger talks with Humana back from the dead, according to a new report in Bloomberg. [ABSTRACT FROM AUTHOR]

A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest MA insurers use artificial intelligence to control costs. [ABSTRACT FROM AUTHOR]

UnitedHealth and Humana saw star ratings decrease, whereas insurtechs celebrated their scores. [ABSTRACT FROM AUTHOR]

UnitedHealth and Humana saw star ratings decrease, whereas insurtechs celebrated their scores. [ABSTRACT FROM AUTHOR]

Humana's stock took a tumble early on Wednesday after it revealed in a filing with the SEC that its MA star ratings had declined significantly. [ABSTRACT FROM AUTHOR]

Keep up with some of the latest headlines in the payer space with our ongoing monthly roundup for September. [ABSTRACT FROM AUTHOR]

As the calendar turns to October, the health insurance industry is gearing up for Medicare's annual enrollment period. [ABSTRACT FROM AUTHOR]

The Biden administration is pressing Humana and CVS to refund millions in Medicare Advantage overpayments, according to newly released OIG audits. [ABSTRACT FROM AUTHOR]

Health plans are set to rake in $11.8 billion in Medicare Advantage quality bonus payments, according to a new analysis from KFF. [ABSTRACT FROM AUTHOR]

Keep up with some of the latest headlines in the payer space with our ongoing monthly roundup for September. [ABSTRACT FROM AUTHOR]

Keep up with some of the latest headlines in the payer space with our ongoing monthly roundup for September. [ABSTRACT FROM AUTHOR]

Alignment Healthcare downplayed recent concerns surrounding star ratings cut points and stressed sizable long-term membership growth. [ABSTRACT FROM AUTHOR]

Humana has made significant strides in growing its senior-focused primary care business, and a new study highlights where it's seeing success. [ABSTRACT FROM AUTHOR]

Humana has made significant strides in growing its senior-focused primary care business, and a new study highlights where it's seeing success. [ABSTRACT FROM AUTHOR]

Humana has agreed to pay $90 million to settle a False Claims Act case related to its Medicare Part D contracts, attorneys for the whistleblower said. [ABSTRACT FROM AUTHOR]

Prior authorization denials in Medicare Advantage jumped between 2021 and 2022, according to a new analysis from KFF. [ABSTRACT FROM AUTHOR]

Medicare Advantage and Medicaid woes continued to plague some major payers in the second quarter. [ABSTRACT FROM AUTHOR]

Wealthy Democratic donors, seemingly reinvigorated by the new-look presidential race, are publicly expressing contempt for Federal Trade Commission (FTC) Chair Lina Khan, one of the nation's key an [ABSTRACT FROM AUTHOR]

Keep up with some of the latest headlines in the payer space with our ongoing monthly roundup for June. [ABSTRACT FROM AUTHOR]

Humana inked a new multi-year agreement with Google Cloud to modernize its cloud infrastructure and build out generative AI solutions. [ABSTRACT FROM AUTHOR]

Humana's CenterWell is planning to open 23 clinics at Walmart locations in four states, the company announced Wednesday. [ABSTRACT FROM AUTHOR]

Humana has made a minority investment in Healthpilot, an AI-enabled platform that makes it easier for people to search for and enroll in Medicare. [ABSTRACT FROM AUTHOR]

Health plans are working together to solve issues in provider data management. One company helped bring these payers together before AHIP this year. [ABSTRACT FROM AUTHOR]

NYC Health appoints inaugural decarbonization officer, Uber health exec moves to VC [ABSTRACT FROM AUTHOR]

NYC Health appoints inaugural decarbonization officer, Uber health exec moves to VC [ABSTRACT FROM AUTHOR]

Papa CEO Andrew Parker says the company has rolled out new programs to help health plans meet SDOH goals and improve Star ratings. [ABSTRACT FROM AUTHOR]

The CEOs of the six major national insurers earned a combined $122,970,614 in total compensation in 2023, according to annual proxy filings. [ABSTRACT FROM AUTHOR]

More than 18 million veterans live in the U.S., making up about 7% of the adult population. [ABSTRACT FROM AUTHOR]

It's been a bit of a weird start to the year for the insurance industry amid ongoing headwinds in Medicare Advantage and a massive cyberattack. [ABSTRACT FROM AUTHOR]

Advocate Health sells off aging-in-place tech business MobileHelp, Novant Health's regulatory roadblocks and more M&A news from April. [ABSTRACT FROM AUTHOR]

Allegiance Health Management is the latest provider organization to come out against MultiPlan's out-of-network claim repricing business. [ABSTRACT FROM AUTHOR]

Insurers Humana, Centene and Elevance Health were selected as the three statewide Medicaid contract awardees in Florida on April 12. [ABSTRACT FROM AUTHOR]

Medicare Advantage plans will need to adjust to new star ratings requirements, industry watchers warned following a final rule on Thursday. [ABSTRACT FROM AUTHOR]

A new collaboration between Humana and digital health company DUOS will match Louisiana-based MA members to resources that treat chronic conditions. [ABSTRACT FROM AUTHOR]

In this week's episode of "Podnosis," you'll hear from two journalists from the Fierce Healthcare team: Paige Minemyer, senior editor of Fierce Health Payer, and Dave Muoio, a staff writer for Fier [ABSTRACT FROM AUTHOR]

Keep up with some of the latest headlines in the payer space with our weekly roundup. [ABSTRACT FROM AUTHOR]

Both Humana and Elevance Health said the Change Healthcare cyberattack is affecting its claims data from providers. [ABSTRACT FROM AUTHOR]

Keep up with some of the latest headlines in the payer space with our weekly roundup. [ABSTRACT FROM AUTHOR]

Medicare Advantage growth has broadly slowed, but the biggest players in this space continue to claim the lion's share of this expansion. [ABSTRACT FROM AUTHOR]

Humana tapped Veda to improve the accuracy of its provider information and ensure that seniors have real-time details about in-network providers. [ABSTRACT FROM AUTHOR]

After HHS was ordered to revise a five-year 340B pay cut, Baptist Health said that Humana is also on the hook to amend its past payment rates. [ABSTRACT FROM AUTHOR]

An "overwhelming" 88% of respondents reporting healthcare discrimination in a new screening initiative were Black, according to a new Humana study. [ABSTRACT FROM AUTHOR]

Though a spike in MA utilization slammed payers last year, particularly in the fourth quarter, each of the six major national firms turned a profit in 2023. [ABSTRACT FROM AUTHOR]

Humana reaffirmed its guidance in the face of likely cuts in Medicare Advantage payment rates for 2025. [ABSTRACT FROM AUTHOR]