Medicare Advantage

The early renewal of a four-year contract ensures that Humana's 21 million members will have in-network access to Tenet hospitals...

A robust job market bolstering employer-sponsored plans, Baby Boomers transitioning to Medicare Advantage, and ACA exchanges attracting new payers are...

The government's participation in the False Claims Act case demonstrates its commitment 'to hold healthcare providers responsible if they fail...

Humana's fifth annual value-based care study found that patients seen by physicians in value-based agreements had a 7% drop in...

Just as in Q2, Louisville-based Humana bolstered its year-end guidance thanks to strong performance in its Medicare Advantage pool.

Enrollees would have access to telehealth benefits regardless of whether they live in rural or urban areas, unlike the current...

The Health Care Payment Learning & Action Network study shows that the percentage of healthcare payments tied to APMs have...

The 'global risk' model is increasingly used by Medicare plans such as Humana and UnitedHealthcare to shift their financial exposure...

The insurer is teaming up with the physician-led value-based care organization to serve Medicare Advantage patients in southern and central...

While UnitedHealth celebrates a win in court, CMS will have to figure out how to achieve 'actuarial equivalence' in its...

UnitedHealth and other insurers had filed suit against HHS, claiming the overpayment rule 'failed to satisfy a statutory mandate of...

The plan does not expand negotiating powers directly to the federal government and Part D drugs, which prompted one critic...