Elevance Health’s Medicaid business is expected to reach a low point on profits in 2026, according to the company’s CFO, Mark Kaye. While speaking at the UBS Global Healthcare Conference on Nov. 11, Mr Kaye said the company anticipates its…
Author: Jakob Emerson
Eli Lilly is dropping CVS Caremark as the administrator of drug benefits for its 50,000 employees next year, Bloomberg reported Nov. 12. Lilly selected Rightway as its new PBM partner. The move comes after Caremark selected Novo Nordisk’s Wegovy over…
President Donald Trump proposed that federal healthcare funds bypass insurers and be directed straight to individuals in a Nov. 8 post on Truth Social. “I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent…
UnitedHealth Group CFO Wayne DeVeydt laid out a roadmap to improve the company’s financial performance during an interview at the UBS Global Healthcare Conference on Nov. 10. “Having competed against this organization for years, both as the CFO of Elevance…
Priority Health has named Nick Gates as the company’s new president. Mr. Gates had been serving as interim president since May and has been with the health plan for more than 20 years, serving in a variety of finance and…
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Health insurers spent the third quarter resetting pricing models and narrowing their product portfolios as medical cost trends remained elevated and Medicare Advantage headwinds intensified heading into 2026. UnitedHealth Group reported Q3 revenue of $113.2 billion, up 12% year over…
The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, each plan typically functions as its own entity with…
The nation’s largest payers have filed their third-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended Sept. 30. 1. UnitedHealth Group: $2.3 billion Total net income in the third quarter was $2.3 billion. UnitedHealthcare’s…
The Idaho Department of Insurance has ordered UnitedHealthcare and PacificSource Health Plans to immediately cease and desist practices that the state says intentionally limited access to Medicare Advantage plans and cut broker commissions during the ongoing open enrollment period. The…
Blue Cross and Blue Shield of Massachusetts has lost its legal challenge against CMS over the methodology used to calculate its 2025 Medicare Advantage star ratings. In a Nov. 3 ruling from the U.S. District Court for the District of…