Medicare Advantage growth is slowing down as payers prioritize margins over membership, and some states are recording a decline in enrollment for the first time, according to a Feb. 26 report from ...

Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

Indiana lawmakers have passed legislation banning health insurers from penalizing hospitals for using out-of-network providers, a direct rebuke of Elevance Health in its home state. The bill received ...

CMS is freezing $259.5 million in federal Medicaid funding to Minnesota, citing unsupported or potentially fraudulent claims in the state’s program. “We have decided to temporarily halt certain ...

Montgomery, Ala.-based Jackson Hospital is suing BCBS Alabama amid the hospital’s bankruptcy proceeding, according to a Feb. 16 filing with the Middle District of Alabama’s U.S. Bankruptcy Court.

CMS has suspended new Medicare Advantage enrollment into Aspirus Health Plan, part of Wausau, Wis.-based Aspirus Health, after the insurer’s claims processor, UCare, was taken over by Minnesota ...

President Donald Trump used his State of the Union address Feb. 24 to plug TrumpRx, criticize the ACA and call out possible Medicaid fraud. While the president addressed affordability more broadly, ...

BCBS Tennessee COO Scott Pierce voiced concerns over pending state bills — accusing them of eventually “forcing higher prices” — in Feb. 26 op-ed columns published in the Leaf Chronicle and The ...

A coalition of more than 60 employer groups, insurers, patient advocacy and labor organizations sent a letter Feb. 24 to the Treasury Department, Labor Department and HHS, urging the Trump ...

Through a multiyear agreement, Farmington-based University of Connecticut Health will go back in network for Aetna commercial and Medicare Advantage members starting March 1, an Aetna spokesperson ...

UCare is in the throes of a state takeover in Minnesota, with health systems and former employees voicing concerns over the insurer’s rehabilitation. The insurer posted an operating loss of $504 ...