Author: Jakob Emerson

In 2025, Minnesota's Medicaid program will no longer award managed care contracts to for-profit HMOs.

In recent years, the healthcare industry has seen an unprecedented surge in virtual and digital services, contributing significantly to an enhanced consumer experience and better health outcomes. The movement towards digitalization is accelerating as patients, clinicians, and healthcare organizations pivot…

The Illinois General Assembly has passed a pair of health insurance reform bills, which Gov. JB Pritzker has indicated he will sign.

Highmark Health began a third round of layoffs May 23, resulting in the termination of 98 employees, the Pittsburgh Post-Gazette reported.

As some major Medicare Advantage insurers look to shrink enrollments and exit markets, others say reimbursement cuts from CMS are a chance to refocus strategies and provide a better product to their members.

From two new CEOs to year-end financial earnings, these are 10 key updates about Blue Cross Blue Shield companies recently reported by Becker's:

Blue Shield of California has named Kassie Maroney as senior vice president and chief actuary.

10 payers were named in Forbes' annual "America's Best Employers for New Grads" list, published May 21.

The ACA marketplace hit a record enrollment high of 21 million in 2024, buoyed by federal premium subsidies. In 2020, ACA enrollment was 11 million.

GuideWell subsidiary WebTPA, a health benefits administrator, has started notifying more than 2.4 million members about a data breach that occurred in April 2023, The HIPAA Journal reported May 20.