Prior authorization reforms remain a major advocacy priority for provider trade groups in 2025, and several state lawmakers have also introduced legislation to bring changes to the process.
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Oscar Health has appointed Janet Liang to oversee its growing insurance business.
A federal court in Tennessee has upheld a jury's decision in favor of a former BlueCross BlueShield of Tennessee employee who filed a religious discrimination lawsuit after she was terminated for refusing to comply with the company's COVID-19 vaccination mandate.
The largest Medicaid managed care provider in the U.S. is declaring the redeterminations era over.
Cigna has agreed to pay $2.9 million to settle a class-action lawsuit alleging it failed to reimburse members for COVID-19 testing.
Centene lost nearly 1.5 million Medicaid members in 2024, but posted 12% enrollment growth in its marketplace segment, according to the company's fourth quarter earnings report published Feb. 4
Molina Healthcare has closed the acquisition of ConnectiCare, a subsidiary of New York City-based EmblemHealth.
Moody's has revised its outlook for the health insurance sector to negative, citing continually high medical costs that are expected to constrain earnings growth in 2025.
The Cigna Group will tie executive pay to customer satisfaction as part of an initiative to improve members' experiences.
Salt Lake City-based Intermountain Health, through its insurance arm Select Health, rebranded its pharmacy benefit manager to Scripius, a move that highlights the growing trend of health systems bringing PBMs in-house.