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Health Insurance & Benefits
Plan types, HSAs/FSAs, open enrollment, and navigating coverage denials/appeals.
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Aetna 2027 Star Ratings Reflect Strong Clinical Quality and Member Experience
37+ min ago (174+ words) Oct 08, 2026, 18:03 ET Delivering a high-quality member experienceAetna also delivered exceptional results on measures related to member experience and the quality of our customer support. NOTE: Information in this release is based on 2027 Star Ratings data published by CMS on October…...
Alignment Healthcare Earns 4 Stars or Higher for Six of Seven Eligible Medicare Advantage Contracts in CMS 2027 Star Ratings
1+ hour, 42+ min ago (192+ words) $2.6 Trillion and Climbing: Where the AI Spending Is Going Alignment Healthcare (ALHC) earned 4 Stars or higher for six of seven eligible Medicare Advantage contracts in CMS’s 2027 ratings. Three contracts achieved an overall 4.5-Star Rating. The contracts rated 4 Stars or higher…...
Aetna 2027 Medicare Plans Offer Reliable, Affordable Access to Care & Member Support
9+ hour, 57+ min ago (1054+ words) Plans designed to provide member value and access to care: $0 copays for annual physicals, colonoscopies and mammograms at in-network providers $0 copays for annual Healthy Home Visit from a licensed Signify Health clinician Dental, vision and hearing benefits A continued focus…...
2027 AARP Medicare Advantage from UHC WA-12?
1+ week, 11+ hour ago (206+ words) I live in Clark County WA and have had AARP Medicare Advantage from UHC WA-12 for 2 years. Still haven’t received my ANOC for 2027. When I try to access online, I’m told to check back after 10/7/26. When I search for a…...
Two-Year Adherence and Costs for Biologic Therapy for Rheumatoid Arthritis
9+ hour, 44+ min ago (812+ words) Adherence to newly initiated biologic therapy for rheumatoid arthritis is important for long-term adherence. Study Design: Retrospective cohort study of administrative claims data (IMS PharMetrics Plus) for services incurred from July 1, 2008, to December 31, 2014. Conclusions: Adherence to the first bDMARD was…...
Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings
11+ hour, 2+ min ago (1127+ words) Patient ratings of plans and care were lower among beneficiaries filing complaints or reporting denied care. Appeals did not further predict ratings, but successful complaint resolution did. Objectives: To assess whether Medicare patients’ reports of denied care, appeals/complaints, and satisfactory…...
Analysis Reveals High Cost of Discontinued HMA Treatment for MDS
11+ hour, 2+ min ago (483+ words) HMAs are recommended therapeutic options for patients with HR-MDS because they have been associated with survival benefit, improved quality of life, and improvement in cytopenias, which leads to delayed progression to acute myeloid leukemia. “In order to elicit clinical response,…...
UnitedHealthcare Will Leave Georgia's ACA Marketplace in 2027 After State Regulators Pushed Back on a 54% Rate Request
19+ hour, 57+ min ago (676+ words) UnitedHealthcare will stop selling plans on Georgia's Affordable Care Act marketplace in 2027 after state insurance regulators objected to the 54% rate increase it requested. Its marketplace members will need to choose a new insurer for coverage starting January 1. The exit comes…...
Sentara Leaves Anthem Medicare Advantage Network January 1, So Hampton Roads Members Should Compare Plans Starting October 15
19+ hour, 52+ min ago (834+ words) Sentara Health doctors and hospitals will be out of network for Anthem Medicare Advantage members starting January 1, 2027, after Sentara ended contract talks without an agreement. About 25,000 Medicare Advantage members are affected, according to Virginia Business. For older adults in Norfolk,…...
Fairview sues UnitedHealthcare over 'inaccurate information' on Medicare Advantage plans
20+ hour, 25+ min ago (295+ words) Fairview Health is suing UnitedHealthcare, accusing the insurer of false advertising and continuing to list Fairview as in-network for its 2027 Medicare Advantage plans despite Fairview’s decision not to renew its contract. MINNEAPOLIS (FOX 9) - Fairview Health is suing the nation's largest…...