A diabetes management program has saved Capital Blue Cross employer group customers $20 million since 2021. 

The prices for some GLP-1s have dropped significantly in recent years for individuals covered by Medicare and commercial insurance, according to a new report from HHS.

When Humana began its diversity, equity and inclusion (DEI) journey, the focus was on caring for a culture of belonging for our employees.

Enrollment in ACA plans hit a record high of 21.4 million in 2024, driven by premium subsidies.

Blue Cross Blue Shield companies have the largest market share among commercial insurers in the majority of states, according to the American Medical Association's annual "Competition in Health Insurance" report. 

Michigan Medicine will shutter its health plan, U-M Health Plan, at the end of 2025. 

A former Aetna employee has been sentenced to five years in prison in Ohio over his involvement in several fraudulent claims schemes. 

Humana misrepresented the providers its Medicare Advantage plans will be in-network with in 2025, Minnesota Attorney General Keith Ellison alleged. 

At the National Association of Insurance Commissioners Fall 2024 meeting on Nov. 18, state insurance regulators focused on artificial intelligence, mental health parity and other emerging challenges in the health insurance industry. 

An Illinois lawmaker has introduced legislation that aims to provide greater oversight of how insurers use artificial intelligence in decision-making processes.

Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums. 

CareSource has closed on its acquisition of Radiant Alliance, a nonprofit senior care organization composed of Metta Healthcare (parent company of Ohio's Hospice and Pure Healthcare), United Church Homes and Genacross Lutheran Services.

CVS Health will lay off 42 additional employees at Aetna's headquarters in Hartford, Conn, after laying off hundreds of employees earlier this year. 

At least eight health systems are getting out of the insurance business. 

CMS proposed major reforms on Nov. 26 for the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and weight loss drug coverage. 

Massachusetts' insurance commissioner has approved the sale of Springfield-based Baystate Health's insurance subsidiary, Health New England, to Point32Health for $165 million.

Highmark Health reported $22.1 billion in revenue and $529 million in net income in the first nine months of 2024.

Payer executive moves reported by Becker's in 2024:

Payers have faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products.

UnitedHealthcare has prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings.