Author: Jakob Emerson

The 2025 Medicare Advantage market is seeing major changes, with some insurers expanding into new counties and others exiting certain counties.

Blue Cross and Blue Shield of Massachusetts reported a $114 million operating loss in the first nine months of the year, partly due to skyrocketing claims for GLP-1 medications.

WPS Health Solutions is laying off 313 employees in Wisconsin due to competitive pressures and federal contract losses.

California has the highest number of individuals with Medicare Part D coverage, while Washington, D.C. has the lowest amount, according to KFF.

Michigan has canceled contracts with nine health plans to manage the state's Medicaid program for individuals dually-eligible for Medicare and Medicaid. 

The U.S. Justice Department is suing UnitedHealth Group and home health company Amedisys over the companies' planned $3.3 billion merger.

California has fined Spring Health $1 million for selling healthcare services in the state without a license.

Utah has the highest percentage of residents enrolled in commercial health plans (60%), New Mexico has the highest percentage enrolled in Medicaid (34%), and West Virginia has the highest percentage enrolled in Medicare (20%), according to a health coverage report…

A mobile app offered to individuals covered by Centene's Medicaid plan in Arizona improved medication adherence, and reduced healthcare visits and costs, according to a study published Oct. 21 in The American Journal of Managed Care.

Aetna and Optum have agreed to settle a class-action lawsuit that accused the companies of improperly charging administrative fees as medical expenses.