News
Why insurers aren't cheering CMS' Medicare Advantage increase
1+ week, 1+ day ago (34+ words) Modern Healthcare Why insurers aren't cheering CMS' Medicare Advantage increase The Philadelphia-based system claims the insurer's latest policy on inpatient services allegedly violates federal law....
Group cutting prior authorizations by 11% includes Aetna, Cigna
1+ week, 2+ day ago (150+ words) Modern Healthcare Group cutting prior authorizations by 11% includes Aetna, Cigna - A group of nearly 50 health plans says it has reduced prior authorizations by 11% so far in 2026 compared with 2024. - The coalition also said it is on track to improve the standardization…...
Well Span Health President and CEO Roxanna Gapstur to retire
1+ week, 3+ day ago (27+ words) Modern Healthcare Well Span Health President and CEO Roxanna Gapstur to retire Gapstur has led the organization since January 2019....
Medicare ACOs keep growing. Will that continue?
2+ mon, 1+ week ago (43+ words) Medicare Shared Savings Program ACOs saved $4. 1 billion last year, according to the Centers for Medicare and Medicaid Services. Medicare ACOs keep growing. Will that continue? The Centers for Medicare and Medicaid Services has big plans for the exchanges. Providers have…...
Medicare Advantage insurers want CMS to ease benefit cuts
3+ week, 3+ day ago (41+ words) Modern Healthcare Medicare Advantage insurers want CMS to ease benefit cuts Many health systems aim to use fewer third-party vendors to oversee revenue cycle operations and are bringing more operations in-house....
Insurers issue dire warnings about Medicare Advantage pay rule
1+ mon, 1+ week ago (38+ words) Modern Healthcare Insurers issue dire warnings about Medicare Advantage pay rule Tech companies providing autism care are feeling the pressure from these cost containment efforts by public and private insurers....
Insurers back Medicare coding rule ahead of looming pay overhaul
1+ mon, 2+ week ago (37+ words) Modern Healthcare Insurers back Medicare coding rule ahead of looming pay overhaul Former UVA Health CEO Dr. K. Craig Kent filed a lawsuit seeking $42 million in damages....
Medicare Advantage enrollment 2026: Winners and losers
1+ mon, 3+ week ago (80+ words) 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. - United Healthcare, Elevance Health, Aetna and Centene decreased their memberships, while Humana gained beneficiaries. - Health insurers sought to…...
CMS rolls out last-minute changes to Medicare Plan Finder
7+ mon, 6+ day ago (52+ words) The Centers for Medicare and Medicaid Services wants Medicare Advantage insurers to add their provider directories to Medicare Plan Finder. CMS rolls out last-minute changes to Medicare Plan Finder Hospitals in Medicaid expansion states could see steep declines in their…...