Health Plans & Payor Services

Embracing the Next Phase of Inorganic Payer Growth

Even if industry-wide margins and medical loss ratios are returning to their pre-pandemic levels, the world of payers and their target markets appears volatile once again. Declining profitability in Medicare Advantage (MA) plans has led some major payers to shrink their MA footprints for 2025, and CVS Health was even reportedly considering divesting its Aetna […]

Embracing the Next Phase of Inorganic Payer Growth Read More »

Arkansas BCBS Allegedly Considers Merger: Report

Little Rock-based Arkansas Blue Cross and Blue Shield is discussing a potential merger with Cambia Health Solutions, Arkansas Business reported Jan. 21. Arkansas Business cited a source with knowledge of the potential deal. Portland, Ore.-based Cambia Health Solutions is the parent company of Regence BlueShield, which operates in Oregon, Washington, Idaho and Utah. Read the

Arkansas BCBS Allegedly Considers Merger: Report Read More »

Fewer Medicare Advantage Plans Are Offering Home-Based Care Services for 2025

Last year, many major Medicare Advantage (MA) organizations released previews of what benefits they planned to offer seniors this year. Many of these organizations have moved away from offering plans that include home-based care services. In fact, ATI Advisory found that fewer MA plans were offering benefits, such as in-home services and support, as well

Fewer Medicare Advantage Plans Are Offering Home-Based Care Services for 2025 Read More »

Baystate’s Health Plan Sale Collapses

Springfield, Mass.-based Baystate Health’s planned sale of its insurance subsidiary, Health New England, to Point32Health, the health system confirmed to Becker’s. Point32Health, the nonprofit formed by the 2021 merger of Tufts Health Plan and Harvard Pilgrim Health Care, reached a definitive agreement to acquire Health New England in February. The $165 million deal was unanimously

Baystate’s Health Plan Sale Collapses Read More »

UnitedHealth Group CEO: Value-Based Care Could Offset Rising Provider, Drug Costs

Insurance giant UnitedHealth Group (NYSE: UNH) is blaming providers and drug companies for the growing costs of health care in the U.S. This came after the company faced a wave of public scrutiny for its denial practices following the tragic death of Brian Thompson, CEO of its insurance arm, UnitedHealthcare. “Fundamentally, healthcare costs more in

UnitedHealth Group CEO: Value-Based Care Could Offset Rising Provider, Drug Costs Read More »

Scroll to Top