Centene could end 2023 with no four-star rated Medicare Advantage contracts, CEO Sarah London told investors on a July 28 call. 

CMS has approved a proposal from California to eliminate asset tests for Medicaid eligibility. 

Early data from Medicaid redeterminations is in line with Centene's expectations for membership losses, executives told investors. 

Molina Healthcare's Medicaid membership declined 93,000 in the second quarter, which was well within expectations, CEO Joe Zubretsky said on the company's July 27 earnings call, according to a transcript from Seeking Alpha. 

Lawmakers are proposing legislation that would extend incentives for value-based care in Medicare. 

Payers are seeing rising costs in the Medicare Advantage population, and lawmakers are proposing reforms to the program's prior authorization process. 

Centene recorded $1.06 billion in net income in the second quarter of 2023 after recording a $172 million loss over the same period last year, according to the company's earnings report released July 28.

Michigan will give Medicaid enrollees an extra month to return enrollment forms before their coverage is terminated through 2024, the state's department of health and human services said July 26. 

Molina Healthcare is expecting to add $1.8 billion in premium revenue from its acquisition of Bright Healthcare's 125,000-member Medicare Advantage business. 

Nevada will liquidate Friday Health Plans, making it the last of the seven states to shut down the defunct payer. 

North Carolina Gov. Roy Cooper's administration has said the state's Medicaid expansion will take effect Oct. 1, but the Legislature has not approved the funding needed to launch the program, Politico reported July 26. 

From its top attorney to the president of its PBM, these are five executive departures from the Cigna Group over the last year:

Centene subsidiary Superior HealthPlan was awarded a new six-year contract to administer Texas' Medicaid coverage for the aged, blind and disabled population. 

Molina Healthcare reported $309 million in net income in the second quarter of 2023, up 24.6 percent from the same time period last year, according to the company's earnings report published July 26. 

Select Health, the nonprofit insurance arm of Salt Lake City-based Intermountain Health, has named Sean Dunroe as market president of the company's Canyons Region, which includes Utah and Idaho.

Several states have expanded Medicaid or other state-funded coverage options to noncitizens, according to an analysis from KFF published July 26. 

Cigna Healthcare is pushing back on reporting from ProPublica and a lawsuit in California that accuse the payer of denying large batches of members' claims without individual review, thereby denying them coverage for certain services.

From a long tenure at Rochester, Minn.-based Mayo Clinic to spending more than four years as the CEO of Optum Health, here is the career background of Wyatt Decker, MD, UnitedHealth Group's new chief physician of value-based care, according to UnitedHealth Group's website and his LinkedIn page:  

UnitedHealthcare controls almost 25 percent of the Medicare Part D plan market, according to an analysis from KFF.