Most Medicare Advantage markets are highly concentrated, but in a handful of markets, one payer controls more than 70% of the MA landscape, according to the American Medical Association's annual ...

States spend nearly $40 billion annually on expanded Medicaid coverage under the ACA, according to KFF. Medicaid is financed by the federal government and the states based on per capita income. The ...

UnitedHealthcare has prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings. The lawsuit, filed Sept. 30 in the U.S. District Court ...

Employer-sponsored insurance costs rose about 5% in 2024, driven in part by coverage of expensive weight loss medications, according to Mercer's National Survey of Employer-Sponsored Health Plans.

Untreated mental health conditions often prevent people from seeking medical care, leading to more expensive emergency treatments. Personalized, targeted outreach based on AI-enabled insights can help ...

Utah has the highest percentage of residents enrolled in commercial health plans (60%), New Mexico has the highest percentage enrolled in Medicaid (34%), and West Virginia has the highest percentage ...

Changes could be coming for Medicaid in the next presidential administration. In his first term in office, President-elect Donald Trump's administration backed block grant funding for the program, and ...

California has the highest number of individuals with Medicare Part D coverage, while Washington, D.C. has the lowest amount, according to KFF. The 2024 data from CMS includes standalone Part D and MA ...

The average Medicare beneficiary will have 34 Medicare Advantage plans available to them in 2025, with Pennsylvania being the highest at 71 plans, according to KFF. In 28 states, the average ...

The country's largest payers reported year-over-year increases in medical cost ratios. Aetna reported a medical benefit ratio of 95.2% in the third quarter, driven by increased utilization, premium ...

Fewer Medicare Advantage insurers will offer remote access technologies and over-the-counter benefits in 2025 than in 2024, according to an analysis from KFF. In a report published Nov. 15, the health ...

Primary care accounts for more than 35% of U.S. healthcare visits, but only 5% of healthcare spending. To address this gap, a California agency has set a goal for insurers in the state to direct 15% ...