Author: Jakob Emerson

Arizona is the latest state looking to implement Medicaid work requirements.

Jefferson Health Plans has named Krista Hoglund as its next president, effective March 10.

Seventeen HCA hospitals in Florida are suing UnitedHealthcare for allegedly underpaying for emergency care provided to its ACA members. 

UnitedHealthcare is offering some employees buyouts if they leave their job by March 3, CNBC reported Feb. 19. 

Blue Cross and Blue Shield of Alabama is criticizing a proposed health plan backed by the Alabama Farmers Federation (ALFA), which BCBS says would provide unregulated coverage, harm members, and discriminate based on pre-existing conditions. 

Blue Cross Blue Shield of Michigan will begin enforcing a long-standing policy that would charge hospitals that repeatedly appeal denied claims.  

Humana's chief medical officer, Kate Goodrich, MD, says CMS' proposed Medicare Advantage rate increase for 2026 "does not fully account for" the rising medical costs experienced by the company over the last few years.

Major insurers are investing further in the stop-loss insurance business, while others are grappling with mounting cost pressures in the same business line.

A federal judge is allowing a lawsuit against UnitedHealth Group to partially move forward, which alleges the company used an artificial intelligence algorithm to wrongfully deny Medicare Advantage patients post-acute care. 

The Trump administration is looking to target 'program integrity' within the Affordable Care Act marketplace with a new proposed rule, while also reducing funding for the ACA navigator program to $10 million.