Author: Rylee Wilson

Courts sided with SCAN Health Plan in a star ratings lawsuit that could have implications for other plans, and a Blue Cross Blue Shield company is pulling out of the Medicare Advantage business. 

Oscar Health wants to reach 4 million members by 2027. 

Payers can play a key role as educators, helping employers promote women's health, according to Mass General Brigham Health Plan's chief medical officer. 

Mobile, Ala.-based Infirmary Health is out of network with UnitedHealthcare as of June 4. 

California improperly used $52.7 million in federal Medicaid funds to pay for nonemergency care for Medicaid recipients without legal status, according to an audit from HHS' Office of Inspector General. 

Seven payers landed among the top 25 healthcare companies on the Fortune 500 in 2024. 

Sean Robbins, an executive vice president for the Blue Cross Blue Shield Association, has been named CEO of Cushman & Wakefield/Boerke, a commercial real estate company. 

Payer executives are expecting AI, integrated care and an aging population to transform the healthcare landscape in the next decade. 

UnitedHealth Group is running around 500 use-case applications for AI across the organization, CEO Andrew Witty told investors. 

Redeterminations could be shaking up margins in the Medicaid business, payer executives warn.