Elevance Health Faces Block on Medicare Advantage Enrollment (3)

Elevance Health Inc. faces sanctions from Medicare that will block its plans from enrolling new Medicare Advantage members by the end of this month, the company said in a filing, a major threat to an important business.

The sanctions relate to allegations that the health insurer didn’t comply with certain rules around risk adjustment, the process by which insurers get paid more for sicker patients.

Cutting off new enrollment for health insurers is a rarely used stick by the Centers of Medicare and Medicaid Services, and signals an escalation in the regulator’s dispute with industry. Mehmet Oz, the ...