Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with restructuring strategies.
The Latest
West Virginia has awarded Highmark Blue Cross Blue Shield of West Virginia a four-year Medicaid managed care contract.
More than 15 million people have been disenrolled from Medicaid since April 2023, surpassing HHS' original estimates with several months left in the redeterminations process.
New Hampshire has awarded three payers contracts to manage the state's Medicaid managed care programs.
Independence Blue Cross has named Joe Geist as senior vice president and president of national markets.
Several insurers reported higher-than-expected medical costs in Medicare Advantage, and federal regulators predicted the program would receive billions in overpayments in 2024.
A group of Republican senators have introduced legislation that would ban the use of federal funding to expand state Medicaid benefits to undocumented residents.
There are major disruption opportunities ahead in the employer group insurance market by way of individual exchange coverage, and some payers are hedging their bets on the market through a newer product: ICHRAs.
Humana is expecting higher medical costs and lower Medicare Advantage enrollment to hurt its year-end earnings.
A federal appeals court upheld UnitedHealth Group's win in a class-action lawsuit by more than 200 physicians who said they were not paid facility fees for office-based surgeries.