Author: Rylee Wilson

UnitedHealthcare plans to cut prior authorization requirements by around 10% in 2025. 

UnitedHealth Group has more than 2.8 million enrollees in special needs Medicare Advantage plans in 2025, according to CMS data published Feb. 25. 

Blue Cross Blue Shield of Massachusetts reported a $400 million operating loss in 2024, driven by spending on GLP-1 medications and other rising medical costs. 

Elevance Health and Centene saw their Medicaid memberships decline by more than 20% through the redeterminations process. 

Blue Cross Blue Shield of Michigan had more than 750,000 members across its Medicare Advantage plans in 2025, according to CMS data published Feb. 25. 

UnitedHealthcare added more than 400,000 Medicare Advantage members during the annual open enrollment period, according to data CMS published Feb. 25.  

Centene has appointed Kenneth Tanji to its board of directors, expanding the size of its board to 12. 

Few buzzwords are as popular in healthcare as "value-based care." But understanding of the term is often superficial, according to Alex Ding, MD, enterprise deputy chief medical officer at Humana. 

Aetna and the University of Texas (Galveston) Medical Branch are back in network after a four-year split. 

CareFirst Blue Cross Blue Shield is aiming to make generational investments with generational returns, according to CEO Brian Pieninck.