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Blue Shield of California nonprofit parent company Ascendiun launched a national healthcare reform movement focused on value-based care, cost and…
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Blue Cross and Blue Shield of Massachusetts reported a net loss of $222.8 million and a -2.2% profit margin in 2025, citing unprecedented medical and pharmacy spending. The company’s annual revenue was $10.3 billion. It posted an operating loss of…
UnitedHealth Group is limiting employee raises to between 0% and 2% this year and laying off an unspecified number of workers, Bloomberg reported Feb. 27. Minnesota, the company’s home state, has not posted any relevant Worker Adjustment and Retraining Notification…
ACA premiums for older adults have surged nationwide following the expiration of enhanced premium tax credits at the end of 2025, with increases varying dramatically by state, according to a Feb. 26 KFF analysis. The report examined how the loss…
Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release from the California Medical Association said the policy…
Organizations working toward payer-provider alignment do not necessarily have to lead with the financial angle, Sioux Falls, S.D.-based Sanford Health’s COO, Matt Hocks, said. Mr. Hocks recently assumed responsibility for Sanford and Security Health Plans. In a recent interview with…
Medicare Advantage growth is slowing down as payers prioritize margins over membership, and some states are recording a decline in enrollment for the first time, according to a Feb. 26 report from HealthScape Advisors and Chartis. The report used CMS…
The Massachusetts Group Insurance Commission during a Feb. 26 meeting voted to eliminate GLP-1 coverage for state employees and retirees. Chair Valerie Sullivan said removing the coverage would help with managing the budget. She called the vote “a very difficult…
An investigation into former CalOptima Health board member and chair Andrew Do found no fraud during his tenure, the insurer said in a Feb. 18 news release. In 2025, Mr. Do — previously an Orange County supervisor — was sentenced…
Indiana lawmakers have passed legislation banning health insurers from penalizing hospitals for using out-of-network providers, a direct rebuke of Elevance Health in its home state. The bill received final legislative approval on Feb. 26 and now heads to Gov. Mike…
Longtime UnitedHealth Group executive Heather Cianfrocco is leaving the company. Ms. Cianfrocco has served as executive vice president of governance, compliance and information security at UnitedHealth since April 2025. She briefly served as CEO of Optum from 2024 to 2025…
