Interesting and important story by Nona Tepper. Unscrupulous insurance marketers vexed by a federal push against Medicare Advantage fraud found a more hospitable environment on the health insurance exchanges, brokers say. modernhealthcare.com/insurance/medi… via Modern Healthcare

Misleading practices in health insurance exchanges are under scrutiny as CMS tightens regulations to curb fraud. Attorney Tim Murphy highlights the link between Medicare Advantage efforts and rising exchange plan issues in Modern Healthcare Nona Tepper. bit.ly/4hBdP3q

PBGH is working to make #healthcare data more actionable for U.S. employers. With support from the Center, PBGH will analyze healthcare costs and quality in 10 U.S. markets, helping employers make informed purchasing decisions. Nona Tepper covers this groundbreaking project

UnitedHealth Group has faced an unprecedented past year, navigating events that have tested its finances, operations and reputation. ⏪Here's a look back at the healthcare giant's turbulent past 12 months Modern Healthcare modernhealthcare.com/insurance/unit…

I sifted through health insurers' 10-Ks and a couple things jumped out at me: DEI is out, and publicity worries are in. Here's an analysis of changes insurers tucked into their annual reports to investors: modernhealthcare.com/insurance/unit…

“It was such a growth story for many years, and that's tapered a little bit” modernhealthcare.com/insurance/unit… via Modern Healthcare w/ Lauren Berryman

.Nona Tepper writes: "The pay increase represents a welcome lift to struggling insurers, but still is not enough." - ACHP's Michael Bagel, VP of Public Policy. Read our statement: achp.pub/4luCB7Z

“This is the first time SCAN has done anything like this, and we think it might represent the future of Medicare Advantage,”   SCAN CEO Dr. Sachin H. Jain, MD, MBA shares details around SCAN's joint venture with Sutter Health in this Modern Healthcare article by Nona Tepper: modernhealthcare.com/insurance/scan…

"Humana experienced the greatest drop in Medicare Advantage star ratings among large insurers this year. modernhealthcare.com/insurance/huma…" by Nona Tepper.

"It’s very important for people to understand what we are trying to do but we can’t do because we don’t have the power to push bills through” modernhealthcare.com/politics-polic… via Modern Healthcare

On the difficulties of undoing state trigger laws that would automatically unwind their Medicaid expansion if Congress is successful in reducing the enhanced federal match for the expansion population.

You are not going to want to miss this! modernhealthcare.com/events/centene… via Modern Healthcare

"It’s all about upcoding” 👀 modernhealthcare.com/insurance/unit… via Modern Healthcare

On Nov. 6, share prices for $UNH, $HUM and $CVS, the Medicare Advantage market share leaders, jumped a collective 10.9%. Seven months later, their value is down 38.1%, largely driven by $UNH's downfall. modernhealthcare.com/politics-polic… via Modern Healthcare w/ Bridget Early

Centene CEO London: 'We are really at a moment of revolution' modernhealthcare.com/insurance/cent… via Modern Healthcare

Years of controversies have put PBMs in the hot seat with policymakers, but federal inaction (whether good or bad) has resulted in a mixed bag of state policies that often fail to provide structural reforms that yield intended policy outcomes. Nona Tepper modernhealthcare.com/politics-polic…

LA Care CEO banks on AI to cope with Medicaid cuts modernhealthcare.com/insurance/mh-l… L.A. Care Health Plan Nona Tepper Modern Healthcare #Medicaid

L.A. Care CEO Martha Santana-Chin spoke with Nona Tepper Modern Healthcare about how Medi-Cal shaped her future and why proposed cuts, and work requirements threaten access for millions.⚕️⚠️ Learn how L.A. Care is preparing for the future of #Medicaid. #LACare spr.ly/60104TeCg

PBMs fight back as state seeks stronger regulation Nona Tepper modernhealthcare.com/politics-polic…