RADAR on Medicare Advantage

Early Look at AEP Data Shows Medicare Advantage Membership Gains of 8.8%

Preliminary enrollment figures from the 2020 Annual Election Period (AEP) indicate that Medicare Advantage enrollment surpassed 24.3 million lives, up 8.8% from 22.4 million posted a year ago. The January enrollment...

News Briefs

✦ Bright Health plans to acquire California-based family-owned health plan Universal Care. Doing business as Brand New Day, the 37-year-old company serves Medicare-eligible seniors and special needs populations...

2020 Outlook: MA ‘Winners’ Must Focus on Differentiation, Integration

With early signs of strong enrollment growth in 2020 and a healthy pay outlook in 2021 given the elimination of the Affordable Care Act health insurer fee and an anticipated rate increase, the sun continues to shine...

2020 Outlook: SNPs Look to States, CMS for Direction on Duals Integration

For Medicare Advantage Special Needs Plans (SNPs) and other insurers serving individuals who are eligible for both Medicare and Medicaid, 2020 “will be the year of building momentum for integration of dual eligibl...

CMS Releases Long-Awaited RFA on MA Hospice Model

Medicare Advantage organizations interested in testing the inclusion of a hospice benefit through their plans in 2021 will be tasked with ensuring timely and appropriate access to high-quality hospice care while als...

Kentucky Preps Medicaid Rebid, Giving Anthem, Passport Another Shot at Retaining Business

The five insurers that were selected for new statewide contracts with Kentucky’s managed Medicaid program will have to rebid now that the state’s new Democratic governor, Andy Beshear, has nullified the awards m...

Centene-WellCare Deal Is on Track for Approval; Combined Company Would Hold Nearly 20% of Medicaid Market

Centene Corp.’s planned acquisition of WellCare Health Plans, Inc., a $17 billion move that would create a managed Medicaid behemoth and a serious contender in the Medicare Advantage ring, is close to being a done...

News Briefs

✦ CareFirst BlueCross BlueShield plans to acquire two Medicaid managed care organizations in the Baltimore and Washington, D.C., areas, respectively. CareFirst on Dec. 20 said it reached separate definitive agre...