The Latest

Trillium Community Health Plan, a Centene subsidiary, will take over PacificSource’s Medicaid population in Oregon’s Lane County, according to statements shared with Becker’s Oct. 17. In September, PacificSource decided not to renew its Medicaid contract, affecting about 92,000 people in…

Wellmark Blue Cross and Blue Shield has filed a lawsuit against Iowa’s insurance commissioner, challenging the enforcement of a newly enacted state law that regulates pharmacy benefit managers and the administration of prescription drug benefits. The lawsuit, filed on Oct.…

Two companies earned the “best overall” recognition in U.S. News & World Report‘s 2026 ratings for Medicare Part D prescription drug coverage. Both were among the top four last year. This year’s scores rely on CMS star ratings, as well…

Three companies secured the “best overall” title in the U.S. News & World Report 2026 ratings for Medicare Advantage plans. Two made the cut last year, as well.  This year’s scores rely on CMS star ratings, as well as 37…

CMS Administrator Mehmet Oz, MD, discussed some of the biggest issues facing the Medicare Advantage program at an Oct. 15 industry conference. During his first six months on the job, CMS has already overseen policy moves to streamline prior authorization…

Vermont, Utah and Minnesota topped the Commonwealth Fund’s Medicare performance scorecard in 2025, whereas Kentucky, Mississippi and Louisiana struggled the most. The healthcare research foundation evaluated states on criteria spanning four domains: access to care, quality of care, costs and…