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A federal magistrate judge in Minnesota has ordered UnitedHealth Group to produce a wide range of documents in an ongoing…
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The Congressional Joint Economic Committee identified an additional $13.4 billion contributing to higher Medicare Part B premiums in 2025 due to Medicare Advantage overpayments, according to a March 10 report. The committee relied on Medicare Payment Advisory Commission estimates. Overpayments…
The possibility of a state-based health insurance exchange in Mississippi is looking less probable, state Insurance Commissioner Mike Chaney told Mississippi Today in a March 10 report. “It might be too little, too late, because the dollars are not there…
Idaho Republican state lawmakers have introduced a bill to repeal Medicaid expansion, the Idaho Capital Sun reported March 9. Four things to know: 1. The proposed legislation would repeal Medicaid expansion on Jan. 1, 2028, removing about 90,000 Idaho residents…
On March 8, a judge for the U.S. District Court in Connecticut approved a preliminary injunction against Aetna, ordering the insurer to alter its gender-affirming care policy for two plaintiffs. Several transgender women sued Aetna in 2024 over denied gender-affirming…
Anthem Blue Cross of California is bringing its controversial out-of-network penalty policy to California on June 1, a move that has already drawn legislative backlash in the insurer’s home state of Indiana. Under the policy, participating hospitals and facilities in…
Spartanburg (S.C.) Regional Healthcare System is slated to go out of network with Aetna commercial and Medicare Advantage plans April 15, according to the system’s website. The health system said its misalignment with the insurer stems from their Medicare contract,…
CMS issued requests for applications from Medicare Part D plans and state Medicaid agencies to join the voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth,” known as BALANCE, model. Under the model, CMS will negotiate with manufacturers on…
L.A Care Health Plan is the largest Medicaid managed care organization in the U.S. with nearly 2.4 million enrollees, according to KFF. KFF used CMS data reflecting enrollment totals as of July 1, 2024 across the 42 states and Washington,…
Point32Health is laying off approximately 100 employees, or 2.3% of its workforce. “We regularly review our organization to ensure our teams and department functions are optimally set up to deliver for our members and customers,” spokesperson for the company told…
Humana’s President and CEO Jim Rechtin was paid $18.8 million in total compensation in 2025, the insurer said in regulatory filings published March 6. CFO Celeste Mellet was the company’s highest-paid executive in 2025, earning $18.9 million in total compensation,…
