Molina Healthcare reported a 95% year-over-year drop in net income for the first quarter of 2026, falling to $14 million, from $298 million in the same period last year. The insurer attributed the decline in part to a $93 million…
Author: Jakob Emerson
Mark Cuban has never been subtle about what fuels his motivation to upend U.S. healthcare economics. “What’s more fun and more exciting than taking an industry that everybody hates, the economic side of healthcare … and to be able to…
Oregon regulators have placed ATRIO Health Plans under state supervision after the Medicare Advantage insurer racked up more than $52 million in operating losses in 2025 and fell into a “hazardous financial condition.” The April 13 order gives the state…
Arkansas Blue Cross & Blue Shield reported $4.8 million in net income in 2025, a major financial turnaround for the insurer after reporting a $226.2 million net loss in 2024. President and CEO Curtis Barnett told Arkansas Business that total…
Baylor Scott & White Health Plan is exiting the Texas Medicaid managed care market by the end of August and will no longer offer individual marketplace plans past 2026. The insurer, part of the Dallas-based health system, administers Medicaid benefits…
Advertisement
CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule would also shorten decision timeframes and expand public reporting…
Montana saw the largest increase in catastrophic plan enrollment from 2025 to 2026, while Pennsylvania saw the largest decrease, according to CMS data analyzed by KFF. Catastrophic plan enrollment grew nearly 25% nationally, from 54,000 to almost 68,000, even as…
UnitedHealthcare has named Paul Sharkey as CEO of its Mid-Atlantic employer and individual business, covering West Virginia, Maryland, Virginia and Washington, D.C. Mr. Sharkey has been with the company since 2008, serving in a variety of sales and financial leadership…
Arkansas will begin a soft launch of Medicaid work and community engagement requirements for enrollees in its Medicaid expansion program on July 1, with full enforcement set to begin Jan. 1, 2027. State officials said in February that healthy adults…
Blue Cross Blue Shield plans faced widespread financial pressure in 2025, with several major insurers posting operating losses as medical and pharmacy costs continue to climb. The struggles played out across several leadership moves, an evolving reimbursement policy landscape and…