Providers that bill Medicare Advantage or Medicare Part C (“MA”), and most particularly capitated provider groups, should carefully watch a recent lawsuit filed by Humana, Inc. and Humana Benefit Plan of Texas, Inc. (“Humana...
“Our end goal is for telehealth flexibilities to become permanent policy,” said Alye Mlinar, executive director of TAFA, in a statement. “This two-year extension would help ensure that the millions of patients and providers who rely on virtual care can continue to do so and that innovations...
For us, as a big healthcare company, we have multiple opportunities to integrate social needs into other aspects of our business. Because we are an insurance company, and we have insurance products for Medicare and Medicaid and so on, in some cases, we can incorporate social determinants into...
Centene ended the year with 14.5 million Medicaid beneficiaries — down 1.5 million people since the end of 2022. In the fourth quarter, the payer’s Medicaid premiums were down slightly year over year, but still up in 2023 overall compared to 2022. Despite the loss of members, Centene ...
Centene still expects to lose more than 2M members as Medicaid redeterminations reach midway point Smith comes to the COO position with close to two decades of health insurance industry experience following 19 years at Humana. Most recently, Smith served as the Medicare Advantage...