@nonatc.bsky.social
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reposted by
Tim Broderick
17 days ago
Medicare Advantage can be an option for seniors IF it's offered in the county where you live. We found that even if you have the option this year, next year it could go away. My deep dive with
@nonatc.bsky.social
for
@modernhealthcare.bsky.social
www.modernhealthcare.com/insurance/mh...
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@timbroderick.bsky.social
and I mapped where UnitedHealth, Humana, Aetna, Elevance Health and Kaiser deemed worthy of investment in Medicare Advantage — and which counties they were willing to leave behind. Do the changes surprise you?
www.modernhealthcare.com/insurance/mh...
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Why Medicare Advantage plans are disappearing in US counties
Medicare Advantage insurers have fled dozens of counties in a race to restore once-soaring profit margins.
https://www.modernhealthcare.com/insurance/mh-medicare-advantage-plans-counties-unitedhealthcare-humana/
17 days ago
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What's behind Cambia's affiliation spree? The company just announced its second proposed Blue Cross partnership in months. Here's an inside look at the company's strategy 👇
www.modernhealthcare.com/insurance/mh...
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Cambia proposes another Blue Cross Blue Shield affiliation
Cambia Health Solutions plans to affiliate with Arkansas Blue Cross, following a similar proposal with Blue Cross of North Dakota announced in August.
https://www.modernhealthcare.com/insurance/mh-cambia-blue-cross-arkansas-north-dakota/
about 2 months ago
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Big premium hikes aren't the only thing different about this year's open enrollment
www.modernhealthcare.com/insurance/mh...
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This exchange open enrollment period is going to be different
The open enrollment period for health insurance exchange plans begins Saturday as seismic changes shake up the market.
https://www.modernhealthcare.com/insurance/mh-open-enrollment-2026-molina-centene-bcbsa/
about 2 months ago
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reposted by
Michael McAuliff
2 months ago
Real-world impacts on the business level. Molina Healthcare is pulling out of one-fifth of the counties where it sells health insurance exchange plans,
@nonatc.bsky.social
reports. "Premiums for Molina Healthcare exchange plans will be 30% higher next year."
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Molina announces health insurance exchange cutbacks
Molina Healthcare's health insurance exchange membership could be 50% smaller next year.
https://www.modernhealthcare.com/insurance/mh-molina-healthcare-aca-markets-2026/?utm_id=gfta-ur-251023&share-code=BKALXI2IERGOPOEEVSADMM4GEI&user_id=5670922&customer_secondary_source=aac_articleGifting
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Centene CEO London: 'We are really at a moment of revolution'
www.modernhealthcare.com/insurance/ce...
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Centene CEO London: 'We are really at a moment of revolution'
Health insurance companies are responding to consumer demand for a different system by investing in new technology and customer experience. Centene CEO Sarah London said she's in.
https://www.modernhealthcare.com/insurance/centene-sarah-london-generative-ai-ichra
7 months ago
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reposted by
USC Schaeffer
7 months ago
"The more you see how
#PBMs
have evolved and the games they play, the more you just get pessimistic that this little piecemeal legislation at the state level is going to do anything to them," USC Schaeffer Senior Scholar Geoffrey Joyce told
@nonatc.bsky.social
@modernhealthcare.bsky.social
.
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PBMs fight back as state seeks stronger regulation
CVS Health and Cigna are angling to undo new state laws limiting vertical integration in healthcare and regulating retail pharmacy contracting.
https://www.modernhealthcare.com/politics-policy/cvs-health-cigna-pbm-laws-reaction?utm_medium=Social&utm_source=Twitter#Echobox=1749476612
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On Nov. 6, share prices for $UNH, $HUM and $CVS, the Medicare Advantage market share leaders, jumped a collective 10.9%. Seven months later, their value is down 38.1%, largely driven by $UNH's downfall.
www.modernhealthcare.com/politics-pol...
w/
@birdy.bsky.social
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Medicare Advantage sector’s hopes dashed as Trump keeps up pressure
Health insurance stocks soared when President Donald Trump won last year. The Medicare Advantage world is less bullish now.
https://www.modernhealthcare.com/politics-policy/trump-medicare-advantage-regulation
7 months ago
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“When you look at the challenges amongst these value-based care players today, it's less patient-driven, right? It's about revenue, it’s all about upcoding, which V28 killed”
www.modernhealthcare.com/insurance/un...
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UnitedHealth woes incite worry about its value-based partners
UnitedHealthcare and Optum's struggles with an evolving Medicare Advantage market have investors questioning if valued-based care companies are at risk.
https://www.modernhealthcare.com/insurance/unitedhealth-agilon-health-p3-health-partners
7 months ago
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You are not going to want to miss this!
www.modernhealthcare.com/events/cente...
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Sarah London named Modern Healthcare's Leading Women Vanguard
Sarah London is the first woman to serve as Centene's CEO.
https://www.modernhealthcare.com/events/centene-sarah-london-leading-women-vanguard
7 months ago
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"It’s very important for people to understand what we are trying to do but we can’t do because we don’t have the power to push bills through”
www.modernhealthcare.com/politics-pol...
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States reconsider Medicaid expansion 'trigger laws' as cuts loom
Nine Medicaid expansion states have "trigger laws" requiring them to pull out if federal funding diminishes. Congress is weighing huge cuts.
https://www.modernhealthcare.com/politics-policy/medicaid-trigger-laws-congress-trump?utm_source=modern-healthcare-alert&utm_medium=email&utm_campaign=20250505&utm_content=hero-headline
8 months ago
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“It was such a growth story for many years, and that's tapered a little bit”
www.modernhealthcare.com/insurance/un...
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Health insurers slash thousands of jobs, more cuts ahead
For the first time in 15 years, employment across the major health insurance companies fell last year, according to a Modern Healthcare analysis.
https://www.modernhealthcare.com/insurance/unitedhealth-aetna-humana-job-cuts-layoffs
9 months ago
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Execs from Medicaid insurers Centene and Molina have downplayed the financial effect of possible Medicaid policy shifts and the likelihood that Congress will change how the program operates. What gives?
www.modernhealthcare.com/insurance/me...
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Republicans' Medicaid cuts could cripple Centene, Molina
Republicans' proposed Medicaid cuts pose the greatest threat to Centene and Molina, among large insurers.
https://www.modernhealthcare.com/insurance/medicaid-cuts-centene-molina-healthcare
10 months ago
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reposted by
Bridget Early
11 months ago
My lovely colleague Nona Tepper is here!! Please give her a follow for top-tier insurance coverage
@nonatc.bsky.social
⭐️
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