Author: Jakob Emerson

A large number of Medicaid enrollees, especially seniors, say their health plan has not reached out about how to renew coverage amid redeterminations, according to a new survey.

Humana posted a 38 percent increase in profits year over year and expects to exceed the industry's average Medicare Advantage growth rate this year, according to the company's second-quarter earnings released Aug. 2. 

UnitedHealth Group subsidiary UMR incorrectly denied emergency room and urinary drug screening claims for 'thousands," the U.S. Department of Labor alleges in a lawsuit filed July 31 in a Wisconsin federal court.

As demand for GLP-1s such as Ozempic and Wegovy continues to surge, payers and self-insured employers are dropping coverage for the weight loss medications left and right.

Forbes has named 15 health insurers on its 2023 list of the nation's 400 best employers for women.

The American Hospital Association, American Medical Association, AHIP and the Blue Cross Blue Shield Association are urging CMS not to move forward with implementing electronic transaction standards for healthcare attachments during prior authorization they say would create "costly burdens" across…

Medicaid redeterminations have thrown state agencies and millions of vulnerable people into chaos nationwide, a situation being described as an "emerging disaster," according to a July 27 column in the Los Angeles Times by Michael Hiltzik, a Pulitzer prize-winning reporter…

From its top attorneys to the president of its PBM, these are nine executive departures from the Cigna Group over the last year:

From the CFO of its government business division to the COO of Carelon, these are 11 executive departures from Elevance Health and its subsidiaries over the last year:

Select Health, the nonprofit insurance arm of Salt Lake City-based Intermountain Health, has named Sean Dunroe as market president of the company's Canyons Region, which includes Utah and Idaho.