Author: Rylee Wilson

Bright Health has closed the sale of its last insurance business to Molina Healthcare. 

Devoted Health, a startup Medicare Advantage plan, raised $175 million in series E funding. 

McKinsey and Company agreed to pay $78 million to health plans to settle allegations the consulting firm helped Purdue Pharma create misleading advertising campaigns for opioids, The Hill reported Dec. 30. 

UnitedHealthcare and Greenville, S.C.-based Prisma Health went out of network Jan. 1 after the two sides failed to reach a new agreement. 

UnitedHealthcare has at least 75% of the Medicare Advantage market in three cities, according to the American Medical Association. 

HHS urged nine states to do more to keep eligible children enrolled in Medicaid, and more states are considering Medicaid work requirements. 

Payers are implementing artificial intelligence to detect fraud, speed up prior authorization and assist members' care. 

In 2023, Humana announced plans to end its commercial insurance business, named its next CEO and saw a planned merger with Cigna fall through. 

A pair of senators are asking CMS to require Medicare Advantage plans to cover stays in long-term care facilities at the same rate as traditional Medicare. 

Elevance Health named new leadership, planned acquisitions and settled lawsuits in 2023.