Author: Jakob Emerson

The Cigna Group is cutting approximately 2,000 jobs globally by the end of February, representing less than 3% of its workforce. “As we drive greater efficiency across our business, we have made the difficult decision to reduce roles in our…

Oscar Health posted a $443 million net loss in 2025 after posting a $25 million profit the year before, as rising medical costs and higher risk adjustment transfers overwhelmed membership gains, according to its fourth quarter earnings report published Feb.…

Montana has clawed back more than $23 million in fraudulent claims after PacificSource flagged more than 200 suspicious ACA enrollments tied to as much as $54.7 million in unjustified claims. A state investigation identified a scheme in which out-of-state individuals…

Alameda Alliance for Health, a county-organized Medicaid managed care plan serving more than 400,000 members in Alameda County, Calif., is bracing for a potential 40% to 45% reduction in membership over the next three years as federal Medicaid cuts and…

CMS released participation data Feb. 4 for Medicare accountable care organizations in 2026, showing continued growth in enrollment and a record number of beneficiaries served by the Shared Savings Program. Six things to know:

Elevance Health bid on 11 national accounts in competing Blue Cross Blue Shield markets last year and won nine of them, the company said on its 2025 earnings call with investors, offering the first look at how a landmark antitrust…

Molina Healthcare will exit the Medicare Advantage Part D business in 2027, the company announced alongside its fourth quarter and full year 2025 earnings report published Feb. 5. The MAPD product represents approximately $1 billion in annual premiums. Molina said…

Centene lost nearly 500,000 Medicaid members in 2025, but posted 26% enrollment growth in its marketplace segment, according to the company’s fourth quarter and full year earnings report published Feb. 6. Total revenues in the fourth quarter were $49.7 billion,…

There was a time when a hospital contract renewal was one of the more boring events in healthcare. Health systems and payers would work through rate disputes in private, and patients rarely knew the process was happening, let alone that…

CVS Health is cutting 313 positions in Aetna’s small group insurance business, according to regulatory documents filed Feb. 4 with the Connecticut Department of Labor. Most of the affected employees work remotely across multiple states but report to Aetna’s headquarters…