Turquoise Health has detailed its first comprehensive payer price transparency scores in its 2025 impact report, evaluating machine-readable file quality across 97 payers. Ten key findings: 1. Turquoise Health now tracks 219 payer files monthly. The company has assigned transparency…
Author: Jakob Emerson
Optum executives spoke with Becker’s throughout 2025 about how the company is applying AI and data analytics to address inefficiencies across the healthcare system, from claims processing delays and operating room bottlenecks to pharmacy operations and value-based care delivery. What…
Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study published Dec. 10. Researchers from the University of California San Francisco…
Kaiser Permanente is the largest insurer by enrollment in the fully insured large group market, UnitedHealth Group is the largest within the fully insured small group market, and Centene is the largest within the individual market, according to the Peterson-KFF…
UCare is laying off roughly 250 employees in early January as the Minneapolis-based nonprofit insurer moves toward shutting down, the Minnesota Star Tribune reported Dec. 12. Another 650 workers are expected to transition to jobs at Medica, which announced in…
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Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December. Researchers from Simple Healthcare analyzed 2025 Transparency in Coverage files from Aetna, Cigna,…
UnitedHealth Group continues to be the largest health insurer in the U.S., with nearly 45 million members in 2025, according to the Peterson-KFF health system tracker. The data is from Mark Farrah Associates and includes enrollment across the individual market,…
Nearly 5.8 million people have enrolled in ACA marketplace plans for 2026 coverage, outpacing last year’s enrollment figures at the same point in the open enrollment period, according to new data published Dec. 5 by CMS. Americans have until Dec.…
The One Big Beautiful Bill Act will bring sweeping changes to Medicaid beginning in 2027, while enhanced ACA premium tax credits are set to expire at the end of this year, creating uncertainty for millions of enrollees. California stands to…
Minnesota regulators are seeking court approval to take control of UCare, the Minnesota Star Tribune reported Dec. 9. The Minnesota Department of Health filed a petition in state court seeking to place UCare in “rehabilitation” status, which would give the…