Rebecca Pifer

Despite heavy lobbying, insurers failed to see MA rates improve in the final rule, which codified a 0.16% decrease to benchmark funding.

The retailer previously planned to have more than 75 health centers operational this year. Now, Walmart plans to reach that goal in 2025.

The once high-flying telehealth stock has traded below the exchange’s minimum listing requirements for 30 days, according to a new notice.

However, the insurers could protest Michigan’s decision, potentially mitigating membership erosion.

Meanwhile, Centene, Elevance and Humana held onto statewide contracts. The reprocurement was especially positive for Centene, which had been expected to lose market share, analysts said.

The insurer says it has caught up on claims delayed due to the cyberattack on the clearinghouse earlier this year, and shared more details on a new primary care venture with a private equity firm.

Because of the final rates for next year, Humana will have to enact “larger benefit reductions to achieve stable margins,” its CFO told investors.

The nation's largest Medicaid insurer expects to return to normal operations this year, though redeterminations continue to dog Centene through a mismatch between rates and acuity.

Regulators have been pursuing more enforcement actions against health applications sharing consumers’ data. Friday’s final rule should give those actions more heft.

Runaway inpatient spending in particular caused CVS’ insurance costs to snowball after returning “to patterns we have not seen since the start of the pandemic,” its CFO said.