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Blue Cross NC recorded a net loss of $497.3 million in 2025, according to regulatory filings. The insurer posted a net income of $68.5 million in 2024 and $133 million in 2023. In March 2025, Blue Cross NC restructured under…

AI was front and center during recent earnings calls for UnitedHealth Group and Elevance Health, as leaders discussed their companies’ respective $1.5 billion and $1 billion tech investments. Both organizations, along with Centene, made Fortune‘s top companies for AI adoption…

BlueCross BlueShield of Tennessee recorded a net income of $168.4 million in 2025, a 62% decline from $446.8 million in 2024, according to regulatory filings. In its 2025 impact report, the insurer said 89 cents of every premium dollar collected…

CareFirst BlueCross BlueShield has partnered with benefits platform Thatch to build an individual coverage health reimbursement arrangement model for brokers and employers across Washington, D.C., Maryland and Northern Virginia. The partnership aims to give employers a defined contribution alternative to…

As 2027 approaches, updates to CMS-HCC and RxHCC models are expected to reshape how organizations capture risk, document care and forecast revenue. For many health systems, the challenge isn’t awareness — it’s readiness. Without a proactive strategy, these shifts may…

On Demand

Presented by:

Presented by
Presenters:
  • June Bronnert, MHI, RHIA, CCS, CCS-P
  • Sriam Talluri

From completing the sale of a United Kingdom-based subsidiary, to reporting $6.28 billion in profit in the first quarter of 2026, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since April 17:  1. TPG…

HHS’ Office of Inspector General found CMS may have improperly paid more than $2.26 million for virtual check-in and e-visit services for Medicare enrollees, according to an April audit report. The audit window — which spanned Jan. 1, 2019, through…

Healthcare payers are facing sustained pressure on multiple fronts. Rising specialty drug costs, shifting utilization patterns, and continued margin compression across Medicare Advantage and Medicaid are all impacting financial performance. At the same time, expectations for quality, outcomes, and member…

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