Oscar Health has promoted Louis DeStefano to chief growth officer and Kristen Prestano to SVP and chief marketing officer. Mr. DeStefano has been with the company since 2017 and previously served as SVP of growth. Ms. Prestano has been with…
Author: Jakob Emerson
Providence Health Plan recorded a $102 million net loss in 2025, driven by rising medical and pharmacy utilization and a drop to a 3.5 Medicare Advantage star rating, but the Oregon-based health plan is projecting a return to financial stability…
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.…
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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…
Payers have faced state penalties in 2026 for slow reimbursements, mishandled member complaints, and mental health parity violations. Fines in 2025 are here. Payers fined by states in 2026: 1. Aetna was fined $550,000 by Pennsylvania in March following a…
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…