Will Big Health Insurers Expand 2025 Medicare Advantage Footprints?
Forbes Healthcare
SEPTEMBER 3, 2024
It's unclear whether big health insurers will expand their geographic footprints for 2025 as they have in the past.
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Forbes Healthcare
SEPTEMBER 3, 2024
It's unclear whether big health insurers will expand their geographic footprints for 2025 as they have in the past.
Forbes Healthcare
OCTOBER 1, 2024
Health insurance companies including CVS Health's Aetna, Cigna and Humana are pulling back slightly on their Medicare Advantage footprints after years of expansions.
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Forbes Healthcare
JANUARY 1, 2025
could be one of the biggest cost drivers for health insurers and employers in 2025. The anti-obesity drug Zepbound made by Eli Lilly & Co.
Forbes Healthcare
OCTOBER 31, 2024
Republican-led states historically opposed to the Affordable Care Act are seeing an influx of health insurance options for 2025 as insurers see a new market opportunity.
Forbes Healthcare
MARCH 21, 2025
While the number of prescription fills for GLP-1 receptor agonists has continued to increase, health Insurance coverage for meds like Ozempic and Zepbound has decreased.
KevinMD.com
JANUARY 27, 2025
January In a blistering commentary, the American Medical Association’s flagship journal, JAMA, condemns the corrosive effect on patient care of the profit-seeking practices of health insurers.
The HIPAA Journal
APRIL 16, 2025
Legal counsel for Medical Express confirmed that the data mining process was completed on January 30, 2025, and a mailing vendor was engaged on March 3, 2025. The final list for notifications was obtained on March 19, 2025, and the notification letters were mailed on April 14, 2025.
The HIPAA Journal
MARCH 28, 2025
Two breach notices have been added to the Beacon Health System website, the first on March 24, 2025, involving a business associate called CPS Solutions, a provider of services to support pharmacy operations. Notification letters were mailed to the affected individuals on February 10, 2025.
Health Populi
DECEMBER 30, 2024
The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. More granularly, Ill be looking into Sleep-tech: The square footage of CES convention floor space devoted to sleep has been significant and visible, with 2025 growing new products and sleep-tech flavors.
Health Populi
APRIL 14, 2025
twelve months ago: uncertainties about private/commercial insurance and employment-based health benefits, as well as uncertainties about Medicaid erosion, Medicare benefit access and enrollment, the status of NIH-funded and tracked clinical trials, and many other aspects of health care security play into these landscapes. .”
Healthcare Dive - Practice Management
SEPTEMBER 30, 2024
The CMS said premiums, benefits and plan choices will hold steady in 2025, even as insurers have warned they could cut MA offerings in a bid to preserve profits.
The HIPAA Journal
MARCH 19, 2025
The Michigan-based aesthetic surgery provider detected unauthorized third-party access to its computer network on January 29, 2025. The exposed data included names, birth dates, Social Security numbers, and health insurance information. Suspicious activity was identified in a single computer on November 20, 2024.
Healthcare Dive - Practice Management
FEBRUARY 25, 2025
Operating income fell for all but two insurance divisions operated by major payers in the fourth quarter. And 2025 may be no better, after many major payers released outlooks suggesting medical costs will continue climbing this year.
Practice Index
NOVEMBER 21, 2024
You’ll have seen in the press lately a lot of attention being paid to the National Insurance and National Living Wage increases being introduced from April 2025. However, not private enough to be able to obtain the same relief on the National Insurance increase that other private, small businesses can. So, which is it?
The HIPAA Journal
MARCH 11, 2025
The file review confirmed that the types of data compromised in the cyberattack included names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information. During that time, files were exfiltrated from its network, some of which contained patient data.
Practice Index
MARCH 6, 2025
Lords bid to exempt practices from NI increases Practices could still be exempted from the increase in employers National Insurance rates following a vote in the House of Lords. The Lords voted to amend the National Insurance Act to protect health and care providers. More than 13,000 people have signed a petition against the change.
The HIPAA Journal
MARCH 19, 2025
The breach was detected on January 15, 2025, and immediate action was taken to prevent further unauthorized access. The forensic investigation confirmed that an unauthorized third party accessed the account between January 10, 2025, and January 14, 2025, and potentially viewed or acquired patient data.
Healthcare Dive - Practice Management
JUNE 6, 2024
Hundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on how drastically the MA market giants slash benefits in an attempt to improve profits.
Healthcare Dive - Practice Management
OCTOBER 23, 2024
The Better Medicare Alliance is warning of disruptions to care for America’s seniors, though MA premiums and major benefits are essentially unchanged next year.
Practice Index
APRIL 10, 2025
Health Secretary Wes Streeting said: It is only because of the necessary decisions we took to increase employer National Insurance that we are able to recruit more GPs and deliver better services for patients. The post Primary care news round-up (3rd to 9th April 2025) appeared first on GP Practice Management Blog.
The HIPAA Journal
APRIL 16, 2025
The hackers encrypted files and stole data such as names, addresses, telephone numbers, email addresses, dates of birth, demographic information, Social Security numbers, drivers license numbers, medical record numbers, health information, payment information, and health insurance information.
Practice Index
JANUARY 2, 2025
The BMA welcomed the news, signalling that the extra money might help to relieve the pressure that practices face from the National Insurance increase. Scotland needs urgent action to avoid practice collapse The BMA has issued a bleak assessment of prospects for Scotlands health services in 2025.
Practice Index
FEBRUARY 6, 2025
We started off 2025 just as we ended the previous year! Read now PCNs secured for 2025/26: Welcome news or temporary fix? - NHS England has provided some welcome yet unquestionably overdue reassurance to GP practices and additional roles reimbursement scheme (ARRS) staff that the future of PCNs is secure for the 2025/26 financial year.
The HIPAA Journal
MARCH 28, 2025
On March 20, 2025, Pineland Community Service Board disclosed a security incident detected on January 20, 2025. The forensic investigation confirmed unauthorized network access between November 24, 2024, and January 20, 2025, during which time the threat actor viewed or copied information from its network.
The HIPAA Journal
MARCH 26, 2025
According to Sunflower Medical Group, the unauthorized access was identified and blocked on January 7, 2025. The hacker was able to access names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information.
The HIPAA Journal
APRIL 18, 2025
The document review was completed on January 30, 2025, when it was confirmed that the exposed information included first and last names, clinical/treatment information, medical provider names, medical record numbers, and patient account numbers. Notification letters were mailed to the affected individuals two months later, on March 31, 2025.
The HIPAA Journal
MARCH 20, 2025
on February 14, 2025. The intrusion was detected on January 13, 2025, and the investigation confirmed that an unauthorized third party had access to its network between December 8, 2024, and January 11, 2025. Peters, Missouri, has notified 1,265 individuals about a security incident on January 17, 2025.
Healthcare Dive - Practice Management
JULY 31, 2024
The insurer shrank its plan footprint for 2025 in a bid to improve margins. Now, Humana is giving market watchers loose guidance into how that reduction could affect its enrollment along with second quarter results.
The HIPAA Journal
APRIL 1, 2025
A comprehensive and time-intensive review of the affected accounts was recently concluded, and it was confirmed that names, addresses, Social Security numbers, drivers license numbers, bank account information, payment card information, dates of birth, medical information, and health insurance information were stored in the accounts.
Practice Index
JANUARY 2, 2025
pay rise for GPs in 2025/26. The next GP contract: promises and uncertainty When it comes to funding, the Government sneaked in, just before the festive period, early details of the next GP contract for 2025/26. Before Christmas, the Government announced its proposal for a 2.8%
Healthcare Dive - Practice Management
OCTOBER 3, 2024
Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this year, the insurer disclosed Wednesday. The downgrade could wipe out Humana’s profits in 2026.
The HIPAA Journal
MARCH 19, 2025
A data review vendor was engaged, and Access TeleCare was provided with the final results of the review on August 30, 2024; however, it took until March 4, 2025, for individual notifications to be mailed. On January 14, 2025, an employee emailed a document to a personal email account.
The HIPAA Journal
APRIL 1, 2025
All claims must be submitted by or be postmarked by June 30, 2025. The settlement has received preliminary approval from the court, and the final approval hearing has been scheduled for June 16, 2025. The deadline for objection to and exclusion from the settlement has passed. The post Azura Vascular Care Agrees to $3.15
The HIPAA Journal
MARCH 11, 2025
The data review was completed on February 13, 2025, and confirmed that names, dates of birth, Social Security numbers, medical information, treatment information, healthcare provider information, and health insurance information had been exposed.
Health Populi
MARCH 3, 2025
As HIMSS 2025, the largest annual conference on health information and innovation meets up in Las Vegas this week, we can peek into what’s on the organization’s CEO’s mind leading up to the meeting in this conversation between Hal Wolf, CEO of HIMSS, and Gil Bashe, Managing Director of FINN Partners. Drive population health.
Healthcare Dive - Practice Management
AUGUST 7, 2024
Insurers cited workforce shortages, hospital consolidation and growing demand for pricey GLP-1 drugs as reasons driving the premium increases for 2025.
Healthcare Dive - Practice Management
OCTOBER 23, 2024
Centene is emulating other insurers unhappy with how regulators handled quality ratings for 2025. The flurry of complaints is “symptomatic of what appear to be systemic issues” with CMS calculations, Centene said.
Healthcare Dive - Practice Management
SEPTEMBER 9, 2024
The insurer’s Wellpoint subsidiary is expanding its ACA footprint for the 2025 coverage year, likely in a bid to capture enrollees who recently lost Medicaid coverage.
The HIPAA Journal
MARCH 24, 2025
in early March 2025.In users of the 23andMe service have a degree of protection under the Genetic Information Nondiscrimination Act (GITA), as their genetic data cannot be used to make employment or health insurance decisions but there may be other ways that their data could be used.
The HIPAA Journal
APRIL 2, 2025
SimonMed Imaging has recently confirmed that it was affected by a cybersecurity incident earlier this year that involved unauthorized access to patient data via one of its vendors.The Scottsdale, Arizona-based radiology practice said that on January 27, 2025, it was alerted by one of its vendors that they were experiencing a security incident.
Healthcare Dive - Practice Management
NOVEMBER 4, 2024
The payer joins several other insurers suing federal regulators over the 2025 quality ratings, which Elevance argues will cost it at least $375 million in bonus payments and rebates.
Health Populi
SEPTEMBER 11, 2019
as a “health insurance company” evolving to its vision as technology-informed health care. “People think of Humana as insurance company but we feel we’re more about integrated health care…(We’re) trying to make the pivot as a health partner, a tech company delivering health care.
Medical Economics
DECEMBER 11, 2024
The malpractice insurance market is facing a number of challenges. What does that mean for rates in 2025?
The HIPAA Journal
MARCH 25, 2025
Columbia Eye Clinic, South Carolina Columbia Eye Clinic, a medical and surgical ophthalmology practice with four locations in Columbia and Lexington in South Carolina, announced a data security incident on March 14, 2025, involving the exposure of patients’ protected health information.
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