Health Alliance Plan, the health plan owned by Henry Ford Health System in Detroit, entered a deal to acquire troubled insurer HealthPlus of Michigan, the insurance companies announced.
Cone Health joins the ranks of health systems entering the insurance business as it begins to market its new Medicare Advantage plan.
The CMS needs to do a better job ensuring that there are adequate networks for Medicare Advantage plans, according to a new analysis by the Government Accountability Office.
CareMore, a Medicare Advantage plan headquartered in Cerritos, Calif., has seen significant safety gains and fewer ER visits with its team-based Brain Health program for dementia patients and their caregivers.
Aetna CEO Mark Bertolini and Anthem CEO Joseph Swedish told senators Tuesday that local and national health insurance markets would remain competitive if the federal government approved their pending transactions. Other witnesses expressed sharp skepticism.
The average Medicare Advantage premium for 2016 will be $32.60 a month, a drop of 31 cents a month, or just under 1%, from this year, the CMS said Monday. Almost 3 in 5 Advantage beneficiaries will not face a premium increase next year.
Roughly 17.7 million seniors and disabled Americans are enrolled in Medicare Advantage, and many more are expected to sign up for the private Medicare health plans when the annual enrollment period begins next month.
The Affordable Care Act is a law, and consolidation is increasing throughout healthcare. Those were roughly the only two points that House politicians and healthcare witnesses agreed on Thursday.
A new test within the Medicare Advantage program will lower out-of-pocket costs for chronically ill patients who seek high-value services and providers.
The Obama administration says it needs more time to evaluate a large-scale test coordinating benefits and care for low-income and disabled Americans. The 12 participating states appear willing to stick with it, but the two largest expressed significant reservations.
Supporters hope a new Medicare Advantage experiment offering lower out-of-pocket costs for high-value services and providers will become a template for health plans with sizable cost-sharing, which have become the standard offering from employers and insurers.
The whistle-blower whose case led to a whopping $320 million settlement between the government and SCAN Health Plan in 2012 is not entitled to any of that cash, a federal judge has ruled. Some say the decision could lead to fewer whistle-blowers bringing cases against Medicare Advantage plans.