Molina Healthcare reported a 15% decline in net income year over year, according to the company’s second quarter earnings posted July 23. Total revenue in the second quarter was $11.4 billion, up 16% year over year. Total net income in…
Author: Jakob Emerson
Providers are winning the majority of independent dispute resolution cases under the No Surprises Act, but recent court rulings have limited enforcement of awards and new lawsuits allege providers are misusing the IDR process for financial gain. The NSA was…
New Hampshire Gov. Kelly Ayotte has signed a bill that requires insurers to notify the state’s insurance department at least 90 days in advance before discontinuing a line of business, including Medicare Advantage plans. The bill specifically mandates that insurers…
CareOregon has laid off 80 employees and eliminated 70 empty positions in response to financial headwinds, The Oregonian reported July 22. According to the report, the layoffs included positions at all levels of the company. The insurer employed more than…
Massachusetts has rejected ACA rate proposals for 2026 from BCBS Massachusetts and WellSense Health Plan. WellSense is the insurance arm of Boston Medical Center, which requested a 16.2% rate increase for the individual and small employer market next year. BCBS…
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Humana is accelerating its efforts to reform the prior authorization process through a series of new policies, following the broader insurance industry’s recent pledge to reduce and streamline prior auth requirements. By January 1, 2026, Humana will eliminate one-third of…
With GLP-1 medication costs being a top concern for employers heading into 2026, UnitedHealthcare is addressing the challenge through its Total Weight Support program, aimed at improving weight loss outcomes for employees while managing the costs of medication adherence. “In…
UnitedHealthcare’s specialty benefits CEO, Tom Wiffler, is departing from his role after more than 25 years with the company. Since 2017, Mr. Wiffler led the insurer’s dental, vision, disability, life insurance, indemnity products, hearing, pet insurance, and stop loss businesses.…
Canton, Ohio-based Aultman Health System will no longer offer individual and family ACA plans, along with small group insured ACA plans, past 2025, the Canton Repository reported July 21. The system’s insurance arm, AultCare, insures about 100,000 people. About 6,000…
Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over 120 pages of confidential medical records from Aetna, Mangione’s health insurer. In a…