Industry News
How much and why ACA Marketplace premiums are going up in 2027
Note: This brief was originally published on July 8 and updated on August 3, 2026 to include proposed 2027 rates from all 50 states and the District of Columbia. Every spring and...
DOJ steps up crackdown on Medicare Advantage upcoding
The Justice Department’s scrutiny of Medicare Advantage risk adjustment is intensifying, with two recent settlements totaling nearly $1.1 billion highlighting federal concerns...
28 Health Systems Dropping Medicare Advantage Plans
Contract breaks between major health systems and certain Medicare Advantage insurers are continuing in 2026. Providers dropping plans often cite prior authorization denials and...
Coming Soon: SunFire + RetireFlo CRM Integration
On 9/8, SunFire is launching a new integration with RetireFlo, the leading Medicare customer intake and survey platform for field agents. The integration will allow agents to...
‘We’re in wartime’: As major insurers continue pulling back on Medicare Advantage, SCAN places another contrarian bet
As insurers nationwide prepare to take their latest Medicare products to market this fall, SCAN Group is doubling down on an unconventional growth strategy meant to grab the...
Providence Health Plan to close completely after Medicare Advantage deal falls through
The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered “despite significant effort on all sides,” per a...
Costco Is Getting Into Medicare — Here’s What Its New Health Insurance PlansCould Mean for
The warehouse retailer plans a limited rollout of jointly branded Medicare Advantage plans in two states and a Medicare supplement plan in a third, The Wall Street Journal...
Medicare Advantage members hit hard by rising costs
According to the J.D. Power 2026 U.S. Medicare Advantage Study released Tuesday, overall member satisfaction fell 12 points this year to 611 on a 1,000-point scale; the second...
Centene CFO to step down at year-end
Drew Asher, the current chief financial officer of Centene, will step down from his role on Dec. 31 before retiring at the end of 2027, the Missouri-based company announced...
‘Profit growth over enrollment growth’: Health insurers are dropping MedicareAdvantage plans — many older Americans will be affected
One in 10 Medicare Advantage policyholders face forced disenrollment this year, according to an analysis by researchers at the Johns Hopkins Bloomberg School of Public Health....