Coming into 2025, health insurance industry leadership encountered overwhelming uncertainty. Despite this, 2025 proved to be a year of executive mobility. Here are 19 payer CEO moves from this past year: 1. Krista Nelson will lead Optum Health as CEO. …
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Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study published Dec. 10. Researchers from the University of California San Francisco…
UCare is laying off roughly 250 employees in early January as the Minneapolis-based nonprofit insurer moves toward shutting down, the Minnesota Star Tribune reported Dec. 11. Another 650 workers are expected to transition to jobs at Medica, which announced in…
Kaiser Permanente is the largest insurer by enrollment in the fully insured large group market, UnitedHealth Group is the largest within the fully insured small group market, and Centene is the largest within the individual market, according to the Peterson-KFF…
Throughout 2025, health insurance leaders have weighed in on the role AI should play in the industry, from advancing operational efficiencies to integrating with consumer-facing technology. Here are 14 statements and updates on AI from health insurers in 2025: 1.…
UCare is laying off roughly 250 employees in early January as the Minneapolis-based nonprofit insurer moves toward shutting down, the Minnesota Star Tribune reported Dec. 12. Another 650 workers are expected to transition to jobs at Medica, which announced in…
Neither bill proposing solutions to the impending ACA enhanced subsidy expiration survived a Dec. 11 Senate vote. While Senate Democrats advocated for a three-year ACA tax credit extension, Republicans pitched an alternative focusing on health savings accounts. Both motions failed…
Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December. Researchers from Simple Healthcare analyzed 2025 Transparency in Coverage files from Aetna, Cigna,…
Average worker contributions toward family insurance premiums grew by 308% between 1999 and 2024, according to a Dec. 8 research letter published in JAMA Network Open. Researchers from Rice University and Baylor College of Medicine, both based in Houston, found…
Traditional Medicare could have saved $7 billion from 2019 to 2023 across four services had it mirrored Medicare Advantage’s utilization rates and fraud strategies, according to a December Berkeley Research Group report sponsored by Elevance Health. Because MA plans are…