Judge overturns rule limiting broker payments in Medicare Advantage

Reed O’Connor’s ruling is a setback for smaller MA plans — and efforts to curb predatory marketing to seniors.

Elevance loses Medicare Advantage star ratings suit

The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance $375 million, though the insurer could still appeal.

Driving value and efficiencies with intelligent automation for claims audit processes

Private equity owners led to Genesis Healthcare’s bankruptcy: report

The skilled nursing operator filed for bankruptcy in July, a “predictable” outcome after years of financial mismanagement from Genesis’ private equity investors, according to the Private Equity Stakeholder Project.