An Illinois lawmaker has introduced legislation that aims to provide greater oversight of how insurers use artificial intelligence in decision-making processes.
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Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums.
CareSource has closed on its acquisition of Radiant Alliance, a nonprofit senior care organization composed of Metta Healthcare (parent company of Ohio's Hospice and Pure Healthcare), United Church Homes and Genacross Lutheran Services.
CVS Health will lay off 42 additional employees at Aetna's headquarters in Hartford, Conn, after laying off hundreds of employees earlier this year.
CMS proposed major reforms on Nov. 26 for the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and weight loss drug coverage.
Massachusetts' insurance commissioner has approved the sale of Springfield-based Baystate Health's insurance subsidiary, Health New England, to Point32Health for $165 million.
Highmark Health reported $22.1 billion in revenue and $529 million in net income in the first nine months of 2024.
UnitedHealthcare has prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings.
Payer executives shifted their focus to population health and implemented new strategies in 2024.
Changes could be coming for Medicaid in the next presidential administration.