Author: Jakob Emerson

Oklahoma will transition away from the federal ACA marketplace platform and launch a state-based exchange for 2028 coverage. Currently, 20 states and Washington, D.C. operate state-based exchanges, according to CMS. Oklahoma residents will continue to use HealthCare.gov to enroll in…

Humana’s healthcare services division CenterWell has completed its acquisition of MaxHealth, a Tampa, Fla.-based primary care network focused on adults and seniors, the company said Feb. 13. MaxHealth operates 54 primary care clinics, four specialty/ancillary clinics and 24 affiliated clinics…

Independence Blue Cross (IBX) is rolling out a severity-based payment approach for emergency inpatient admissions under Medicare Advantage, following a similar policy from Aetna that took effect earlier this year. Under the new policy, effective March 5, IBX will use…

The trustee overseeing litigation claims for bankrupt Dallas-based Steward Health Care System is suing five payers, alleging they owe the system’s former hospitals at least $56.9 million in unpaid claims. The trustee, Mark Kronfeld, filed the complaints Feb. 10 and…

Blue Cross Blue Shield of Michigan has agreed to sell its AF Group subsidiary to Enstar Group, a global insurance and reinsurance group, the companies said Feb. 13. AF Group is a national provider of workers’ compensation and specialty insurance…

Workers in 19 states spend 10% or more of their median household income on health insurance premiums and deductibles for family coverage through their employer, according to an analysis published Feb. 11 by the Commonwealth Fund. The analysis used federal…

Cigna’s Evernorth has partnered with Direct Relief to create a donation pathway that routes unused prescription medications from pharmacies directly to disaster response efforts. Express Scripts donated more than 41,000 prescription medications as an initial supply, the company said in…

The nation’s insurers have filed their fourth-quarter earnings reports, showing which recorded the largest net income in 2025.

Most of the country’s largest insurers reported year-over-year increases in medical cost ratios in 2025. Centene reported the highest medical loss ratio at 91.9%, driven by higher marketplace medical costs, Medicaid cost pressures in behavioral health and home health, and…

Kaiser Permanente has been named the top health insurance company in the U.S. for a sixth consecutive year, according to Insure.com’s annual ranking. In the final 1 through 5 score, 60% came from a customer survey, 25% from NCQA health…