Author: Jakob Emerson

Point32Health reported a $301 million operating loss in 2025, offset by $167 million in investment income for an adjusted net loss of $141 million. The insurer, parent company of Harvard Pilgrim Health Care and Tufts Health Plan, posted revenues of…

Eli Lilly has launched Employer Connect, a platform that offers employers a direct route to offer Zepbound coverage to workers at a list price of $449 per month, bypassing traditional pharmacy benefits. The platform pairs employers with more than 15…

Three of four Regence health plans ended 2025 with operating losses as medical and drug costs climbed across Oregon, Washington, Idaho and Utah, according to results published by the organizations on March 2. The Washington plan was the hardest hit.…

Excellus BlueCross BlueShield ended 2025 with a 1.4% operating loss totaling $108 million, as medical and drug claims climbed 16% year over year to nearly $7 billion. The insurer said March 5 the results are its largest annual claims increase…

Network Health, a Wisconsin-based insurer owned by Froedtert ThedaCare Health, grew 37% during this past annual enrollment period to 126,000 total Medicare Advantage members, its second consecutive year of record growth. The plan also posted a 98% member retention rate.…

Sidecar Health members can now see a guaranteed price for nearly every physician visit in the U.S. before receiving care. The update covers all office visits nationwide, from primary care to specialists and therapists, as well as common add-on services…

Blue Cross Blue Shield of Wyoming President and CEO Diane Gore will retire after 40 years with the organization, the company said March 4. Ms. Gore is the fifth CEO in the company’s 80-year history, first joining BCBSWY in her…

Managed Medicaid plans have gone from above-target profit margins during the pandemic-era enrollment boom to aggregate underwriting losses, with early 2025 data suggesting the losses aren’t slowing, according to a February analysis from Wakely. The consulting group analyzed MCO financial…

Blue Cross Blue Shield of Michigan reported a net loss of $246 million on enterprise revenue of $43.3 billion in 2025, up from its $1.02 billion loss on $40.6 billion in revenue in 2024. For 2025, the company posted an…

Medicare Advantage enrollment grew less than 1% during this past annual enrollment period, but beneath that modest topline number was a dramatic reshuffling as national payers shed hundreds of thousands of members while smaller and regional plans posted some of…