Author: Rylee Wilson

Many ACA individual plan members incur same-day costs for preventive services, a study in Health Affairs found. 

UnitedHealthcare's Medicare Advantage numbers keep growing, and CMS issued new regulations to simplify prior authorizations and crack down on misleading marketing in the program. 

Clover Health laid off around 10 percent of its workforce as part of a broader restructuring effort toward profitability. 

Connecticut health plan employees have the highest salaries, on average. 

On-label use of new drugs to treat Type 2 diabetes are well managed by current authorization requirements, UnitedHealthcare's CEO Brian Thompson said. 

CMS' risk adjustment changes won't slow down UnitedHealth Group's long-term growth in the program, CEO Andrew Witty told investors. 

CVS Health CEO Karen Lynch is among the likes of Elon Musk, President Joe Biden and Beyonce on Time's list of the 100 most influential people for 2023. 

Over half of payers had at least one outcomes-based contract in 2022, according to a survey from Avalere. 

Humana is investing another $40 million into affordable housing, bringing the payer's total spending on low-cost rental units to $90 million. 

Lawmakers are asking some of the nation's largest health insurers how they will handle preventive care after a judge struck down some requirements for payers to cover preventive services with no cost-sharing.