Wednesday, September 8, 2021: Payers

The CMS announced it will distribute $452 million to support 13 states’ reinsurance programs. The new funds, which Congress approved in the American Rescue Plan, range from $2.5 million to $139 million per state based on the size of the state’s program. In...

Friday, September 3, 2021: Payers

Centene announced it is consolidating all of its Medicare Advantage (MA) brands under the Wellcare name. Centene’s acquisition of Wellcare Health Plans in January 2020 created one of the country’s largest sponsors of government insurance and led to numerous disparate...

Thursday, September 2, 2021: Payers

A new report from the HHS Office of the Inspector General found that Medicare beneficiaries who were hospitalized with COVID-19 experienced a number of comorbidities. According to the report, nearly all beneficiaries studied, about 55,000 across six cities, were...

Wednesday, September 1, 2021: Payers

New projections in the annual Social Security and Medicare trustees reports indicate Medicare’s insurance trust fund is expected to run out of money in 2026, unchanged from last year’s projection. The report found the COVID-19 pandemic significantly...

Tuesday, August 31, 2021: Payers

Sutter Health has agreed to pay the federal government $90 million to settle allegations that it submitted inaccurate information on some of its Medicare Advantage beneficiaries. The settlement comes a few days after a federal judge finalized a $575 million settlement...

Monday, August 30, 2021: Payers

An Axios analysis of financial statements shows that hospitals, drug companies, health insurers, medical device manufacturers, and other health care suppliers generated record sales and profits during the second quarter. Annualized health care spending hit almost $4...