A Colorado state audit criticized Connect for Health, a nonprofit organization that runs the state’s health insurance marketplace, for its sponsorship practices, financial management and reporting in a Sept. 16 report. The state’s General Assembly requested the audit following Connect…
Author: Elizabeth Casolo
Elevance Health posted a net income of about $1.2 billion during the third quarter, up 17.8% from roughly $1 billion at the same time last year, according to an Oct. 21 earnings statement. “Our third-quarter results were in line with…
California Gov. Gavin Newsom vetoed a state bill that would have required health insurance policies with outpatient prescription drug benefits to cover up to a year of hormone therapy, according to an Oct. 13 update to the legislation. Current law…
Medicare open enrollment kicked off earlier this month and will run until Dec. 7. From some big players exiting Medicare Advantage to boosts in regulatory legislation, there has been more uncertainty with navigating the space. Becker’s caught up with six…
Oscar Health is launching an AI agent and a menopause health program in 2026, according to an Oct. 20 news release. OpenAI will power AI agent Oswell, providing on-demand support for members and patient data insights for providers. Oscar said…
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Trillium Community Health Plan, a Centene subsidiary, will take over PacificSource’s Medicaid population in Oregon’s Lane County, according to statements shared with Becker’s Oct. 17. In September, PacificSource decided not to renew its Medicaid contract, affecting about 92,000 people in…
Two companies earned the “best overall” recognition in U.S. News & World Report‘s 2026 ratings for Medicare Part D prescription drug coverage. Both were among the top four last year. This year’s scores rely on CMS star ratings, as well…
Three companies secured the “best overall” title in the U.S. News & World Report 2026 ratings for Medicare Advantage plans. Two made the cut last year, as well. This year’s scores rely on CMS star ratings, as well as 37…
Vermont, Utah and Minnesota topped the Commonwealth Fund’s Medicare performance scorecard in 2025, whereas Kentucky, Mississippi and Louisiana struggled the most. The healthcare research foundation evaluated states on criteria spanning four domains: access to care, quality of care, costs and…
A federal judge rejected Blue Cross Blue Shield of Rhode Island’s motion to dismiss a lawsuit over coverage of wilderness therapy, according to Oct. 14 court documents. Wilderness therapy is a mental health intervention that involves immersing young people in…