At least four states are pushing to implement work requirements for their Medicaid programs, and some lawmakers and officials have floated implementing requirements at the federal level.

Jan 3, 2025 · At the National Association of Insurance Commissioners Fall 2024 meeting on Nov. 18, state insurance regulators focused on artificial intelligence, mental health parity and other emerging challenges in the health insurance industry.

In 2024, Inland Empire Health Plan achieved significant growth through the expansion of healthcare facilities, recognition on top industry rankings, strengthened partnerships with local and community organizations, and an expanded product portfolio, according to the organization's 2025 Annual Quality Report.

Jan 2, 2025 · The majority of health plan executives are focused on growth and have a favorable outlook for 2025, according to a Dec. 12 survey from the Deloitte Center for Health Solutions. Between August and September 2024, Deloitte surveyed 40 C-suite executives from large health systems and 40 from health plans with revenues greater than $500 million to identify the top trends expected to affect ...

Elevance eyes 'many areas of interest' in acquisitions The 'great disruption' coming for Medicare Advantage UnitedHealthcare, 14-hospital system strike new agreement Insurers face backlash in wake of UnitedHealth attack CMS pitches major Medicare Advantage changes: 10 notes UnitedHealth agrees to $69M settlement in lawsuit over 401 (k) plan Justice Department sues UnitedHealth over Amedisys ...

Dec 11, 2024 · "Discover the top priorities for 2025 from 20 payer executives, including affordability, value-based care, and regulatory changes.

Nov 6, 2023 · Payer leaders discuss their top priority for 2024, including health equity, prior authorization reform, AI, and more.

Nov 22, 2024 · "Discover how payer executives shifted their focus to population health and implemented new strategies in 2024. Learn from industry leaders at the 2025 Spring Payer roundtable.

Nov 18, 2024 · Payer executives expressed confidence in the continuation of enhanced ACA subsidies in some form past 2025. Enhanced subsidies, which help individuals with incomes up to 400% above the federal poverty line afford coverage, will expire at the end of 2025 without Congressional action. The subsidies have spurred record enrollment in ACA plans. Republicans will control the presidency and both ...

Nov 19, 2024 · Medicare Advantage plans faced several headwinds in 2024, including rising medical costs, declining star ratings and a tougher reimbursement environment. The CEOs of some insurers say they are positioned to come out of the turbulent year ahead, while others are looking at an uncertain 2025. Here's what six payer CEOs said about Medicare Advantage on third-quarter earnings calls: 1. On an Oct ...