The federal government will spend $5 billion to keep Medicare Part D premiums stable in 2025, according to an Oct. 2 report from the Congressional Budget Office. Here are eight things to know: A ...

Just two Medicare Advantage plans received five-star ratings from the National Committee for Quality Assurance for 2024. Executives at both plans said clinical integration and a focus on quality ...

A New Jersey-based company has agreed to pay more than $11.3 million to settle False Claims Act allegations arising from fraudulently reported call center performance metrics and fraudulent claims to ...

The Senate Permanent Subcommittee on Investigations will release a "dramatic" report on Medicare Advantage in the coming weeks, Sen. Richard Blumenthal said. At an Oct. 2 press conference, Mr.

A Kansas judge denied Aetna's petition for judicial review of the state's Medicaid contract awards, the Topeka Capital-Journal reported Oct. 3. Five things to know: 1. In May, the state awarded ...

Centene's Ambetter Health individual plans will expand to 60 new counties in 2025. Ambetter Health will be available on ACA exchange markets in 29 states in 2025, according to an Oct. 2 news release ...

Over the last month, California Gov. Gavin Newsom has signed 17 bills pertaining to the deployment and regulation of generative AI technology, including legislation that will require health insurers ...

UnitedHealthcare is asking a federal court to prevent CMS from downgrading its Medicare Advantage star ratings based on one phone call. In a lawsuit filed Sept. 30 in the U.S. District Court in the ...

The USP Drug Classification PLUS is an offering from USP that provides online, interactive access to the USP Drug Classification (an independent drug classification of FDA-approved drugs, organized by ...

The percentage of Humana Medicare Advantage members enrolled in plans rated 4 stars or higher for 2025 has dropped significantly, which is expected to negatively affect 2026 revenues. Based on ...

Payer executives are keeping a close eye on a shifting regulatory environment and ongoing provider shortages. The 16 executives featured in this article are speaking at the upcoming Becker's Payer ...