Medicare Advantage

Cigna Plans to Sell Medicare Business, WH Aims to Lower Sickle Cell Therapy Costs

February 7, 2024 - Cigna will sell its Medicare plans for billions of dollars, according to an announcement from HCSC. The independent licensee of Blue Cross Blue Shield Association revealed that it had plans to purchase Cigna's Medicare businesses--including but not limited to its Medicare Advantage and Part D plans--for $3.3 billion. The deal still has to jump...


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VBC May Poorly Affect Health Equity, Amazon Adds Health Offering

by Editorial Staff

Value-based care efforts have aimed for health equity, but one Health Affairs study found evidence that some value-based purchasing efforts may maintain care disparities for Black Medicare...

Healthcare Costs Hurting Individuals and the US Healthcare System

by Kyle Murphy, PhD

Today’s roundup focuses on pricing disparities of drugs and hospital services, the burden of medical debt on middle-class Americans, and the financial implications of data breaches caused by...

Making Medicare Advantage Plans for the LGBTQ+ Community

by Kelsey Waddill

For generations, the LGBTQ+ community has faced discrimination in the healthcare system. Seniors in the LGBTQ+ community, in particular, have faced a lifetime of inequity and many now enter some of the...

VA EHR Scrutinized After Veteran Deaths, Lawsuit Targets Medication Abortions

by Hayden Schmidt

Abortion opponents, led by The Alliance for Defending Freedom, which also worked to overturn Roe v. Wade, are now targeting the medications used for ending pregnancies. The lawsuit filed in Texas seeks...

Medicare Advantage Plans Face Scrutiny, Biden Secures COVID-19 Boosters

by Hayden Schmidt

Chair of the Senate Finance Committee Senator Ron Wyden is digging into Medicare Advantage marketing practices that may target consumers with misleading and harmful tactics. The Senator sent letters to...

OIG Identifies Unnecessary Denials, Delays by Medicare Advantage Plans

by Kyle Murphy, PhD

The Medicare Advantage program has proven quite lucrative for commercial health plans over the years, but a federal agency is calling into question whether certain business practices are leading to...

Congress Addresses Nurse Staffing Pricing, Florida Expands Telehealth

by Hayden Schmidt

Last week, a bipartisan group of Congress members issued a letter to the White House urging an investigation into price gouging occurring among nurse staffing agencies. Congress also sent another...

Leading Retail Pharmacies Contributed to Opioid Crisis in US

by Kyle Murphy, PhD

Two Ohio counties successfully argued that CVS, Walgreens, and Walmart pharmacies had a part to play in fueling the opioid crisis in Trumbull and Lake Counties. Retail Pharmacies Culpable in Fueling...

The Role of Provider-Sponsored Health Plans in Value-Based Care

by Kelsey Waddill

Payers can structure their health plans and their health plan networks in a variety of ways, but the provider-sponsored plan model has played a unique role in pursuing value-based care...

CMS Funds Telehealth for Medical Centers, OIG Audits Medicare Advantage

by Hayden Schmidt

An influx of funding from the American Rescue Plan is earmarked by HRSA for medical centers in underserved communities. Additionally, the ONC is receiving funding from the plan for IT workforce...

Healthcare Bankruptcies Trend Down, Not Up During Pandemic

by Kyle Murphy, PhD

Labor Day signals an end to the summer but not the coronavirus as back-to-school begins in earnest. Moderna Submits Data for COVID-19 Vaccine Booster Moderna recently submitted initial data to the...

Patients in NC File Antitrust Suit Against HCA Healthcare

by Kyle Murphy, PhD

A heatwave has set in in the Northeast, and many of us are hot and bothered. North Carolina Residents File Antitrust Suit Against HCA Healthcare A group of North Carolina residents has filed a...

Medicare Hospital Reimbursement Set for 2.5% Increase in 2022

by Kyle Murphy, PhD

Let me tell you: A week away from work feels great. Now it's time to turn our attention back to healthcare. Medicare’s Inpatient Payments Will Increase 2.5% in 2022 CMS has finalized an...

Anthem, Kroger Partner for Medicare Advantage; CMS Overspends on Generic Drugs

by Kyle Murphy, PhD

In the modern-day take on A Tale of Two Cities, the threat of COVID-19 has become a matter of where you live, putting clearly in harm's way those without the power to be vaccinated or avoid the...

Humana’s Bold Goal Benefitting Members; Healthcare CIOs Eye Patient Engagement Technology

by Kyle Murphy, PhD

Happy Thursday. A downward trend in COVID-19 cases and deaths is good news as reopening moves forward across the nation. Patient Engagement Technology a Top CIO Priority in 2021 Patient engagement...

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