Horizon Blue Cross Blue Shield of New Jersey is laying off 242 employees amid broader restructuring efforts at the company. A spokesperson for Horizon told Becker’s it is facing unprecedented financial challenges due largely to rising medical costs and utilization…
Author: Jakob Emerson
UnitedHealth Group reported its fourth quarter and full year 2025 earnings Jan. 27, projecting membership declines between 2.3 million and 2.8 million across its Medicare Advantage, Medicaid and commercial business lines in 2026 as the company prioritizes margin recovery following…
CMS proposed its 2027 Medicare Advantage and Part D capitation rates and payment policies Jan. 26, putting forth a slowdown in payment growth after a $25 billion boost for 2026. Six things to know:
Centene’s Ambetter Health has named Gautam Aggarwal, MD, as chief medical officer. Dr. Aggarwal will lead the company’s clinical strategy and help to improve care quality, chronic condition management, and optimize utilization management, according to Jan. 19 news release. Since…
Healthcare groups and leaders are speaking out about the killing of Alex Pretti, a 37-year-old registered nurse, by federal immigration agents in Minneapolis on Jan. 24. The shooting follows another fatal encounter between Immigration and Customs Enforcement officials and a…
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CareFirst BlueCross BlueShield is suing CMS over its 2026 Medicare Advantage star ratings, alleging improper calculations cost the insurer an estimated $32 million in quality bonus payments. The lawsuit, filed Jan. 20 in the U.S. District Court for the District…
Jury selection in the federal murder trial of Luigi Mangione is scheduled to begin Sept. 8, U.S. District Judge Margaret Garnett said Jan. 23. The 27-year-old is accused of fatally shooting UnitedHealthcare CEO Brian Thompson outside the New York Hilton…
Alignment Health has named Adnan Mansour as chief digital officer. Mr. Mansour formerly served as senior vice president and chief information officer at Optum Insight, the data and analytics arm of UnitedHealth Group. At Alignment, he will focus on scaling…
CalOptima Health CEO Michael Hunn is retiring on Dec. 31, 2026. Mr. Hunn was named interim CEO of the insurer in 2021 and CEO in 2022. His accomplishments include creating street medicine programs, establishing a department dedicated to implementing CalAIM…
The CEOs of the nation’s largest health insurers drew the ire of lawmakers on both sides of the aisle during congressional hearings that went for more than nine hours Jan. 22 over industry consolidation, prior authorization practices and executive pay,…