Author: Jakob Emerson

Almost three-quarters of the nation's local Medicare Advantage markets are highly concentrated, according to the American Medical Association. 

Artificial intelligence is nothing new in the world of health insurance, but the speed and scale of its implementation across the industry are ramping up.

Elevance Health's managed Medicaid plans in 21 states have been recognized by the NCQA for their advanced health equity efforts.

Cambia Health Solutions has named a chief commercial officer, a president and CEO of its TPA subsidiary, and promoted its CIO to executive vice president, effective Jan. 1.

Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association. 

Centene CEO Sarah London foresees major disruption opportunities ahead in the employer group insurance market by way of individual marketplace coverage.

Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare Advantage members' medical claims, according to a class-action complaint filed Dec. 12.

Quartz has named Christine Senty president and CEO after serving in the position on an interim basis since April.

UnitedHealth Group, CVS Health, Elevance Health and Cigna Group have been named world and North America leaders for corporate sustainability on the 2023 Dow Jones Sustainability Indices.

Massachusetts' Medicaid program, MassHealth, is expanding coverage of doula services to pregnant, birthing and postpartum beneficiaries beginning in spring 2024.