Medicare Advantage insurers are planning to pare down their plan offerings in 2025. 

Across racial and ethnic groups, MA enrollees report broadly similar experiences but wide disparities in outcomes. 

A Medicaid expansion effort in Mississippi died after state lawmakers were unable to agree on compromise legislation, the Mississippi Clarion Ledger reported May 2. 

The number of employers covering GLP-1 drugs for weight loss is beginning to trend upward, Cigna Group executives told investors. 

Two payers reported losses in the first quarter of 2024. 

The number of people disenrolled from Medicaid through the redeterminations process has surpassed original estimates from the Urban Institute and Robert Wood Johnson Foundation. 

The Cigna Group reported a $277 million net loss in the first quarter of 2024. 

CVS Health is expecting a tough year for Medicare Advantage. 

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

A co-branded Medicare Advantage plan offered by UnitedHealthcare and Walmart will come to an end amid the retailer's decision to close ​​its health centers and end virtual care services, Becker's confirmed April 30.

In written testimony provided ahead of two scheduled May 1 congressional hearings, UnitedHealth Group CEO Andrew Witty said it was his decision to pay ransom in an attempt to protect patient data stolen during the February cyberattack against one of its subsidiaries, Change Healthcare.

UCare posted an operating loss of $82.1 million in 2023, a decrease of more than 75% year over year, the Star Tribune reported April 26.

The year 2024 marks a turning point for healthcare transparency in the United States. Regulations like the Transparency in Coverage Rule (TCR) aim to empower patients with cost information, allowing them to make better informed decisions about their healthcare. However, for health insurers, complying with these regulations presents a complex challenge, further strained by rising labor costs, staffing shortages, and the ever-present risk of inaccurate information dissemination.

There are now more than 20 million Americans enrolled through the individual health insurance exchange marketplace (HIX) and growing. A product originally designed to provide coverage for the uninsured and those caught between having too much to qualify for Medicaid, but not quite enough to afford commercial coverage, is now setting its sights on the small group commercial market through ICHRA, or an individual coverage health reimbursement arrangement. This has the potential to be incredibly disruptive to providers given the negative impact this shift could have on overall reimbursement and provider margins.

When it comes to medical benefits management, finding the right partner is crucial. Safeguarding and improving members’ health while effectively supporting providers is paramount to a successful strategy. An exceptional partner should align with your goals and embody five key traits.

Few states are adding coverage of GLP-1 drugs for weight loss, Centene executives said. 

Centene reported nearly $1.2 billion in net income in the first quarter and a more than 18% decrease in Medicaid membership year over year, according to its first-quarter earnings posted April 26.

UnitedHealth Group CFO John Rex was the highest-paid CFO of a major insurer in 2023. 

The Cigna Group's board authorized the company to pay a cash dividend of $1.40 to be paid on June 20. 

Humana is expanding its use of Cohere's prior authorization platform for diagnostic imaging and sleep services.