Author: Rylee Wilson

The Children's Health Insurance Program now enrolls more than 7 million children, but it began as a collaboration between neighbors in Western Pennsylvania. 

Medicaid redeterminations are underway, and many experts say the process is going worse than expected. 

A New York City plan to implement Medicare Advantage for retirees is being challenged in court again, and federal lawmakers are pressing the largest Medicare Advantage insurers on claims denials. 

Medicare overpaid millions of dollars for beneficiaries who were in skilled nursing facilities or hospital inpatients, according to an audit from HHS' Office of Inspector General. 

Medicare will cover drugs to treat Alzheimer's disease if they receive full FDA approval, the agency said June 1. 

A group of retired New York City employees are suing Mayor Eric Adams and other city officials in an attempt to block the city's planned switch to an Aetna Medicare Advantage plan for the 250,000 retired city workers and dependents…

Blue Cross of Idaho's next CEO wants to make the payer a "destination employer." 

Medicare beneficiaries pay more on average than commercial beneficiaries for "ultra-expensive" drugs, a study published in JAMA Health Forum found. 

Optum Rx is launching a new initiative aimed at using pharmacies to bridge healthcare gaps in rural and underserved communities. 

Member satisfaction in commercial health plans declined from 2022 to 2023, especially among younger generations, according to J.D. Power's 2023 Commercial Member Health Plan study.