Nona Tepper

1 week ago | modernhealthcare.com | Nona Tepper

Breadcrumb Home Finance April 17, 2025 12:28 PM Tweet Share Share Email More Reprints Print AP Images Elevance Health will beat its earnings guidance for the first quarter despite high Medicare Advantage costs, the company announced Thursday. The health insurer reported that while Medicare Advantage spending was elevated during the period, it fell within the range the company anticipated.

1 week ago | modernhealthcare.com | Nona Tepper

Humana's plea for a boost to its Medicare Advantage star ratings has been rejected, the company disclosed Tuesday. The health insurer asked the Centers for Medicare and Medicaid Services for an administrative appeal of the agency's calculation of its quality ratings for 2025, which plunged more than other leading carriers since the prior year. The agency declined last week, although the decision is subject to review by CMS Administrator Dr. Mehmet Oz until April 28, Humana wrote in a legal filing.

2 weeks ago | modernhealthcare.com | Nona Tepper

Scan Group and Sutter Health are launching a new Medicare Advantage company that blurs the payer-provider line. The healthcare companies will invest undisclosed sums to create a new, nonprofit entity focused on developing technology, co-branded Medicare Advantage plans and care models targeted at the 6.9 million eligible Medicare enrollees in California. The joint venture plans to unveil new products over the next three years, beginning in the fall.

2 weeks ago | modernhealthcare.com | Nona Tepper

Nonprofit health insurance company CareSource has invested more than $400 million to buy struggling nonprofit insurer Commonwealth Care Alliance. The deal adds nearly 50,000 Dual Special Needs Plan members who are eligible for both Medicaid and Medicare to CareSource’s book of business, the companies said in a news release Wednesday. CareSource also acquired Commonwealth Care Alliance’s two primary care clinics and its home care practice through the transaction.

2 weeks ago | modernhealthcare.com | Nona Tepper

Breadcrumb Home Insurance April 09, 2025 05:00 AM Tweet Share Share Email More Reprints Print MH Illustration/Adobe Stock Health insurance investors cheered after the Centers for Medicare and Medicaid Services granted Medicare Advantage carriers their largest pay increase in a long while.