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Author: Jakob Emerson

CMS released 2026 premium and cost-sharing amounts for Medicare Parts A and B on Nov. 14, with significant increases across most categories. The standard monthly Part B premium will increase to $202.90, up $17.90 from $185 in 2025, or a…

MDwise is laying off 238 employees in January and will close its office in Indianapolis, according to regulatory documents filed Nov. 13. The layoffs follow Indiana’s decision to remove the insurer as a managed care health plan in its Medicaid…

Horizon Blue Cross Blue Shield of New Jersey has agreed to pay $100 million to settle allegations that it fraudulently induced the state to award it a multibillion-dollar contract to administer employee health benefits and then overcharged throughout the contract’s…

Optum Health, the care delivery arm of UnitedHealth Group, has named Krista Nelson as its new CEO. “I’m deeply grateful to be part of an organization with such an important mission and an incredible team,” Ms. Nelson wrote on Linkedin…

State insurance regulators are issuing warnings around what they describe as unfair practices by Medicare Advantage insurers to restrict enrollment.  Amid rising costs and increased regulatory pressures, insurers have been adjusting their broker commission structures this year as many look…

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UnitedHealth Group is working to position itself as a frontrunner in the wider healthcare industry’s ongoing technological transformation, with AI at the heart of its strategy to innovate, improve operational efficiency, and enhance the experience of its customers.  As the…

Evernorth Care Group, the care delivery division of Cigna Group, is laying off 143 employees at its Scottsdale, Arizona location, according to regulatory documents filed in November. In September, Scottsdale-based HonorHealth announced plans to acquire Evernorth Care Group’s facilities, which…

Indiana is removing MDwise as a managed care health plan offered within the state’s Medicaid programs, effective Jan. 1. MDwise is part of Grand Blanc, Mich.-based McLaren Health Care. Its current Medicaid contract with Indiana was awarded in 2023, and…

Managing rising health benefits costs has surpassed talent retention as the top strategic priority for health systems in 2025, according to Aon’s twentieth annual Benefits Survey of Hospitals. The report includes insights from 155 health systems, representing more than 1,500…

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