Becker's Payer Issues | Payer News

Blue Cross Blue Shield of Michigan has agreed to sell its AF Group subsidiary to Enstar Group, a global insurance and reinsurance group, the companies said Feb. 13. AF Group is a national provider of workers’ compensation and specialty insurance…

Workers in 19 states spend 10% or more of their median household income on health insurance premiums and deductibles for family coverage through their employer, according to an analysis published Feb. 11 by the Commonwealth Fund. The analysis used federal…

Cigna’s Evernorth has partnered with Direct Relief to create a donation pathway that routes unused prescription medications from pharmacies directly to disaster response efforts. Express Scripts donated more than 41,000 prescription medications as an initial supply, the company said in…

Pennie, Pennsylvania’s ACA marketplace, saw about 1 in 5 users drop healthcare coverage in the wake of enhanced premium tax credits expiring, according to a Feb. 9 news release. Pennsylvania was among a handful of states to extend its open…

Humana is in talks with Sarasota, Fla.-based MaxHealth — a primary care network and platform focused on adults and seniors — regarding an acquisition, Bloomberg reported Feb. 12. According to Bloomberg sources, MaxHealth, owned by private equity firm Arsenal Capital…

When San Diego-based Scripps Health walked away from nearly all of its commercial Medicare Advantage contracts Jan. 1, 2024, the move drew widespread attention across the industry. Medicare Advantage enrollment was still climbing nationally and many health systems were doubling…

Fourteen health insurers have voluntarily committed to CMS’ “Advancing Chronic Care with Effective, Scalable Solutions” model, according to a Feb. 12 CMS news release shared with Becker’s. The insurers that are on board will work toward achieving alignment with the…

Texas Attorney General Ken Paxton is investigating BCBS Texas and business services provider Conduent in the wake of a data breach, according to a Feb. 12 news release. The breach spanned Oct. 21, 2024, through Jan. 13, 2025. Names, birthdates,…

The nation’s insurers have filed their fourth-quarter earnings reports, showing which recorded the largest net income in 2025.

Most of the country’s largest insurers reported year-over-year increases in medical cost ratios in 2025. Centene reported the highest medical loss ratio at 91.9%, driven by higher marketplace medical costs, Medicaid cost pressures in behavioral health and home health, and…