SCAN Health Plan, Walmart Partner On Medicare Advantage Plans

SCAN Health Plan is partnering with retail giant Walmart to launch a co-branded Medicare Advantage plan in two states, the companies announced Wednesday. SCAN and Walmart will connect co-branded Medicare Advantage offerings “more closely” with Walmart’s health and wellness products and services and its technology capabilities. Pending regulatory review and approvals, the companies say offerings ...

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Nevada Medicaid Begins Outreach Effort Over Work Requirements

The Nevada Health Authority announced it has started mailing notices to affected enrollees regarding eligibility changes and will follow up with text messages and emails throughout the month of September.

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CVS Health’s Aetna To Streamline Cancer Treatment Approvals

CVS Health’s (CVS.N), opens new tab Aetna health insurance unit will cut back next year on the preapprovals it requires for treatment for cancer patients to only ​one medical prior authorization process early on, the company said on Thursday. Providers ‌will get the insurer’s go-ahead for care by submitting documentation showing a patient is receiving ...

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Surgeon General Nominee Won’t Renounce RFK Jr. Vaccine Decisions

Surgeon general nominee Nicole Saphier, seeking to be confirmed as the nation’s top health educator and spokesperson, on Wednesday declined to fully distance herself from the Trump administration’s changes to the childhood vaccine schedule when pressed by a prominent Republican. During a hearing of the Senate Health, Education, Labor and Pensions Committee, outgoing Chairman Bill Cassidy, R-La., ...

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Health Net Group Market Exit: Broker & Member FAQs

Health Net has released FAQs to help brokers and members navigate its exit from the California Small Group and Large Group medical markets. These resources provide information directly from Health Net regarding the transition, including important details and guidance for affected groups. View Health Net Broker FAQs View Health Net Member FAQs We encourage brokers ...

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UnitedHealth Aims To Shine ‘Sunlight’ On No Surprises Act Problems

Executives from UnitedHealth Group spoke Thursday in Boston at a conference for health care investors, and frustration with the No Surprises Act independent dispute resolution system was the hot group health topic. Wayne DeVeydt, UnitedHealth’s chief financial officer, spent a lot of time talking about Medicare plans and state Medicaid plans. He then talked briefly about the costs ...

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Employer, Consumer Groups Urge Lawmakers To Reform No Surprises Act’s IDR

Employer and consumer organizations are urging lawmakers to address “loopholes” in the No Surprises Act. In a letter (PDF) submitted to House and Senate leaders on both sides of the aisle, nearly 70 groups representing employers, patients and labor unions argue that while the law has successfully averted millions of surprise medical bills, flaws in ...

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AI’s Growing Role in Medical Care Raises Concerns

The expanding role of artificial intelligence in medical care in the United States has raised concerns, even as the Trump administration said it is taking a "responsible, evidence-based approach" that maintains safeguards for patients.

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Healthcare Costs Are Rising. Here’s How States Are Tamping Down

A growing number of states are implementing healthcare cost controls to curb excess spending among providers and payers. Several states have established programs for annual cost growth benchmarks, setting spending limits based on economic measures such as gross state product, wage growth or median household income. However, some regulators are taking this tactic a step ...

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Medicare Advantage Plans Appear To Be Cutting Benefits In 2027

Next year is shaping up to be tumultuous for Medicare Advantage as insurers continue to shore up their profits. Why it matters: Benefit cuts and insurer exits from certain markets mean more upheaval for seniors — and right before the midterm elections. Driving the news: Based on insurance broker commentary, “it appears 2027 sets up ...

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