Author: Jakob Emerson

A broad coalition of insurers, hospitals, healthcare trade associations and civic groups are urging congressional leaders to extend enhanced ACA premium tax credits before their expiration at the end of 2025. “If Congress fails to extend the tax credit, the…

Centene posted a $253 million loss in the second quarter as the company continues to face challenges across its ACA, Medicaid and Medicare Advantage businesses. “We are disappointed by our second quarter results, but we have a clear understanding of…

Priority Health, the insurance arm of Grand Rapids, Mich.-based Corewell Health, will become the governing member of Group Health Cooperative of Eau Claire, a Wisconsin-based health plan with more than 61,000 members. Both organizations expect the transaction to close by…

Humana is ramping up its efforts to reform the prior authorization process with a set of new policies that will reduce volumes for providers, speed up decisions, and increase transparency. Becker’s sat down with Caraline Coats, senior vice president for…

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…

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…

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…