The nation’s largest Medicaid program could eliminate coverage of GLP-1 drugs for weight loss. A proposed budget published by California Gov. Gavin Newsom would eliminate coverage for GLP-1 drugs for weight loss beginning in 2026. The proposal would save an…
Author: Rylee Wilson
College students are reporting fewer mental health challenges than they were two years ago, but rates of serious mental health conditions “remain stagnant,” according to a report from UnitedHealthcare. The company published its third annual College Student and Graduate Behavioral…
California Gov. Gavin Newsom is proposing freezing enrollment for undocumented immigrants in the state’s Medicaid program as it faces large budget shortfalls. A proposed budget published May 14 would freeze enrollment of undocumented immigrants ages 19 and older in Medi-Cal.…
Higher medical costs that have hurt UnitedHealth Group’s Medicare Advantage business are beginning to crop up in other lines of business, CFO John Rex told investors in a May 13 conference call. That day the company also pulled its earnings…
The Center for Medicare and Medicaid Innovation is laying out a new strategy, including plans to require all alternative payment models to involve downside risk. In a May 13 news release, Abe Sutton, director of the CMMI, wrote that the…
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More than 24 million individuals enrolled in individual coverage through federal and state marketplaces during the 2025 open enrollment period. According to CMS data published May 12, 24.3 million people enrolled in ACA coverage in for 2025, a 13% increase…
Stephen Hemsley is returning as CEO at UnitedHealth Group, a role he held for more than a decade. UnitedHealth Group said former CEO Andrew Witty was stepping down for personal reasons. Mr. Witty will remain a strategic advisor to Mr.…
UnitedHealthcare has agreed to pay more than $9 million to settle a class-action lawsuit alleging that the insurer wrongfully denied coverage for proton beam therapy, a type of specialized cancer treatment. According to court documents filed May 9, the insurer…
Health plans are backing a proposal from Connecticut Gov. Ned Lamont to cap the rates hospitals can charge for out-of-network services, the CT Mirror reported May 9. The measure would bar providers from charging more than 240% of Medicare rates…
HHS will not enforce mental health parity regulations opposed by some large employers and insurers. In a May 9 court filing, attorneys for HHS said the department intends to reconsider the rules and may issue a proposed rule rescinding or…