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Cardiovascular conditions now the second-highest reimbursement category, Sun Life says

Cardiovascular conditions now the second-highest reimbursement category, Sun Life says

Cost of cardiovascular conditions is up 33% — “higher than we would expect given medical inflation,” the company said. Article...

California, Oregon eye universal health coverage

California, Oregon eye universal health coverage

The states have proposed creating insurance systems similar to Medicare for All. But the plans need approval from the federal...

Blue Cross NC closes purchase of FastMed urgent care clinics

Blue Cross NC closes purchase of FastMed urgent care clinics

The insurer also named Jim Moffett, who previously worked at a Florida-based division of Trinity Health, as the urgent care...

Trends shaping the business of health insurance in 2024

Trends shaping the business of health insurance in 2024

Here’s what experts saw in their crystal balls for the coming year, including a spike in the uninsured rate and...

Biden administration urges 9 states to curb high child Medicaid, CHIP disenrollment’s

Biden administration urges 9 states to curb high child Medicaid, CHIP disenrollment’s

Nine states account for about 60% of the decline in children’s Medicaid and Children’s Health Insurance Program enrollment from March...

Over 19M could enroll in ACA plans for 2024, CMS says

Over 19M could enroll in ACA plans for 2024, CMS says

Enrollment in the Affordable Care Act exchanges could be boosted by extended subsidies and the effects of Medicaid redeterminations. Article...

Health spending growth normalized in 2022 post-COVID, CMS says

Health spending growth normalized in 2022 post-COVID, CMS says

Healthcare spending grew 4.1% in 2022, faster than the 3.2% spending growth in 2021 but notably slower than the rate of 10.6% in...

CMS asks health plans, PBMs to ease up on independent pharmacies

CMS asks health plans, PBMs to ease up on independent pharmacies

A new letter urges payers to put in place special payment arrangements with pharmacies before a new policy kicks in that...

Medicare Advantage rate change bedevils UnitedHealth’s 2024 outlook

Medicare Advantage rate change bedevils UnitedHealth’s 2024 outlook

UnitedHealth’s MA growth could be depressed next year thanks to a rate notice from the CMS that’s deeply unpopular with...

Insurers’ financial outlook stable despite higher MA utilization: Moody’s

Insurers’ financial outlook stable despite higher MA utilization: Moody’s

Publicly traded health insurers’ financial results held steady in the third quarter, boosted by strong investment income and membership growth,...