New & Notable
Humana soars, Alignment plummets in 2027 Medicare Advantage star ratings
A Healthcare Dive analysis of highly anticipated stars data for next year shows a potpourri of winners and losers, though — as expected — the quality scores slipped overall.
— Healthcare Dive
Medical coding, GLP-1s push BCBSMA spending up 12%
Blue Cross Blue Shield of Massachusetts documents a rapid growth in healthcare spending after COVID-19 in a new study, which points to rises in medical and GLP-1 utilization.
New Cigna tool links member data for personalized health management
Cigna said its Health Sense tool will cut 10% of inefficient spending by synthesizing member and benefits data and providing personalized health management.
Trump administration revamps insurer price transparency reporting
On Monday, the HHS and Labor and Treasury Departments finalized a rule meant to strip out junk cluttering cost disclosures, among other reforms. Employers cheered the changes.
— Healthcare DiveHere’s how much insurers are cutting Medicare Advantage plans for 2027
— Healthcare DiveSponsored Sites
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
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Latest News
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Self-funded employers pay the price for IDR problems
A new report finds that self-funded employers are struggling to manage the volume and added costs of the federal IDR process.
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New IDR portal sign-ups open for No Surprises Act disputes
The CMS has opened registration for the IDR Gateway, a centralized platform for parties to manage No Surprises Act disputes, which will formally open in late 2026.
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62% of young members use AI to choose a health plan
Health plans risk $3 billion in future member lifetime value if they continue to fall short on trust, opening the door for members to build relationships with AI.
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Seasonal work risks Medicaid work requirement compliance
One in five adults at risk of noncompliance with Medicaid work requirements already work, with their hours just missing the 20-hour requirement set out by CMS.
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Medicare GLP-1 program sees rapid uptake among seniors
CMS Administrator Mehmet Oz says 600,000 seniors have signed up for discounted GLP-1s through Medicare Bridge, projecting taxpayer savings through reduced hospitalizations.
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Cigna links supplemental benefits with medical plans
In 2027, employers can offer Medical with Smart Coverage, which allows them to connect supplemental benefits to high-deductible health plans.
Features
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Aetna CTO talks prior auth AI strategy, AI governance
Aetna chief technology officer Nathan Frank says the payer has a product- and business-first approach to AI, steering clear of AI for AI's sake.
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Can Costco hack Medicare Advantage's consumer loyalty problems?
Costco announced it'll sell Medicare Advantage plans in partnership with SCAN Health Plan, testing the wholesaler's consumer loyalty in a new market.
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Inside Elevance's digital chronic disease management strategy
The payer uses multiple chronic disease management programs to avoid a one-size-fits-all approach to member engagement.
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5 healthcare pros on the trends defining primary care
The 2025 Payer + Provider Virtual Summit explored AI, value-based care and community-based partnerships, offering strategies on how to promote primary and preventive care.