Becker's Payer Issues | Payer News

AI, new product lines, shrinking broker networks and increasingly self-directed consumers will reshape the health insurance landscape in 2027, according to two reports from Forrester published Oct. 14, which covered the global insurance and healthcare industries broadly. Here are the…

The U.S. uninsured rate among working-age adults is already climbing before more coverage losses are expected to hit next year, leaving some healthcare leaders warning of the time before the Affordable Care Act when more Americans went without insurance and…

The House Committee on Oversight and Government Reform announced an investigation into pharmacy benefit managers Optum Rx, CVS Caremark and Express Scripts Oct. 23, reviewing their auditing practices of independent pharmacies.  The investigation stems from concerns “that independent pharmacies have…

A New Jersey bill that advanced in the state Senate on Oct. 1 would require health coverage for public employees displaced when their agencies use vendor AI tools that evaluate or monitor workers. Under the bill, all public employees losing…

Following a trough year for Medicaid margins, leaders at Elevance Health and Molina Healthcare are more optimistic about their Medicaid businesses in 2027. In August, Elevance’s Medicaid subsidiary Wellpoint DC left the District of Columbia’s managed care program, with 85…

Calley Means, senior adviser to HHS Secretary Robert F. Kennedy Jr., resigned from the Trump administration over frustration that the Make America Healthy Again agenda had stalled inside the White House, Politico reported Oct. 22.  Two administration officials told Politico…

As insurers pivot their market and product strategies, executive leadership has been evolving at health plans and their parent companies.  Here are 37 payer leadership moves to know from the second half of 2026:

Blue Cross Blue Shield of Massachusetts and Burlington, Mass.-based Tufts Medicine are partnering on a new health plan for BCBS employees, as well as AI implementation to streamline prior authorization. The HMO, Tufts Medicine Alliance Network, includes access to Tufts…