The Cigna Group is cutting approximately 2,000 jobs globally by the end of February, representing less than 3% of its workforce. “As we drive greater efficiency across our business, we have made the difficult decision to reduce roles in our…
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CVS Health reported less than $1.8 billion profit in 2025, down 61.8% year over year, according to a Feb. 10 earnings release. Fourth-quarter net income attributable to CVS Health was $2.9 billion, up about 80% from the same period the…
CMS unveiled a proposed rule Feb. 9 that would reshape the ACA marketplace for plan year 2027, expanding insurer flexibility on plan design, tightening eligibility verification, and re-introducing several program integrity measures that were blocked by a federal court last…
Nurse turnover is draining margins across healthcare organizations, often without being fully measured or understood. While vacancy rates may look manageable on paper, the true impact shows up elsewhere: rising premium pay, missed coverage, longer time to fill roles, and…
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Oscar Health posted a $443 million net loss in 2025 after posting a $25 million profit the year before, as rising medical costs and higher risk adjustment transfers overwhelmed membership gains, according to its fourth quarter earnings report published Feb.…
Tacoma, Wash.-based MultiCare Health System is suing Optum and Change Healthcare, alleging that Change owes the system at least $1.2 million in outstanding claims. The lawsuit, filed Jan. 27 in Washington federal court, alleges that Change “consistently failed to provide…
Montana has clawed back more than $23 million in fraudulent claims after PacificSource flagged more than 200 suspicious ACA enrollments tied to as much as $54.7 million in unjustified claims. A state investigation identified a scheme in which out-of-state individuals…
Patients who take advantage of zero-cost preventive screenings see better health outcomes and reduced spending, according to January research from BCBS Association and Blue Health Intelligence. The groups reviewed claims data of BCBS members with breast or colorectal cancer. The…
Payers have faced state penalties in 2026 for slow reimbursements, mishandled member complaints, and mental health parity violations. Fines in 2025 are here. Payers fined by states in 2026: 1. Centene’s Health Net was fined $1.3 million by California in…
Alameda Alliance for Health, a county-organized Medicaid managed care plan serving more than 400,000 members in Alameda County, Calif., is bracing for a potential 40% to 45% reduction in membership over the next three years as federal Medicaid cuts and…