Health Insurance & Benefits

3+ hour, 7+ min ago   (1007+ words) As the Philippine health maintenance organization (HMO) industry continues to grow, Intellicare is putting healthcare access at the heart of that growth, paying ₱9.35 billion in healthcare benefits and claims in the first half of 2026. The latest Insurance Commission (IC) performance…...

8+ hour, 17+ min ago   (463+ words) A prisoner at HMP Wymott in Lancashire died after his worsening mental health was not escalated despite repeatedly telling staff he was having thoughts of self-harm, a watchdog report has found. A newly published report by the Prisons and Probation…...

8+ hour, 16+ min ago   (233+ words) The Moore County News-Press TEXARKANA, Texas -- Thousands of East Texas seniors with CHRISTUS Medicare Advantage plans will need to find a new provider for coverage by Dec. 7 this year. Beginning in 2027, most of the carriers that will be quitting Medicare…...

14+ hour, 5+ min ago   (348+ words) Medicare Advantage premiums are set to fall 16.5% in 2027, even as UnitedHealthcare, Aetna and Humana reduce networks and plan availability. Medicare Advantage premiums are set to fall sharply in 2027, but some beneficiaries may have fewer doctors and plan options to choose…...

14+ hour, 15+ min ago   (699+ words) A comparison of 2013 and 2022 data shows that cancer costs are not uniformly rising. Costs decreased for metastatic colorectal cancer but increased for both metastatic non–small cell lung cancer and multiple myeloma. Methods: Using MarketScan Commercial Claims and Encounters data,…...

19+ hour, 39+ min ago   (282+ words) New providers seeking to participate in Texas Medicaid face months of delays in getting clearance from the Texas Health and Human Services Office of Inspector General, according to a source familiar with the applications. Apparently, some providers have been trying…...

1+ day, 23+ min ago   (1177+ words) Members and provider offices call because the decision already exists inside the plan's utilization management system and nobody has told them yet. The clinical reviewer finishes the case and records the determination. From that moment, the member waiting on a…...

1+ day, 8+ hour ago   (390+ words) The American Journal of Managed Care Employer-mandated enrollment in a high-deductible health plan did not reduce use of oral targeted anticancer medications among patients commercially insured between 2007 and 2021. Am J Manag Care. 2026;32(10):545-547 The study included 124 members with an employer-mandated switch…...

1+ day, 15+ hour ago   (967+ words) The two largest names in Medicare Advantage are steering 2027 members toward plans with tighter doctor networks. UnitedHealthcare will exit some areas where it offers a higher share of preferred provider organization (PPO) plans, and Aetna is expanding health maintenance organization…...

2+ day, 1+ hour ago   (732+ words) Our purpose is simple and clear: To simplify health care one person, one family and one community at a time. Our approach ties directly to our purpose: To simplify health care one person, one family and one community at a…...