The Latest

A federal judge has granted preliminary approval to Elevance Health’s $12.9 million settlement resolving a class action lawsuit that accused the insurer of improperly denying coverage for residential treatment of mental health and substance use disorders. The lawsuit was originally…

Twenty-one health insurance companies made the inaugural list of “America’s Best Employers For Company Culture” by Forbes and Statista, a Hamburg, Germany-based data analytics firm, published Sept. 18. Forbes and Statista heard from over 218,000 workers at companies with at…

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites.  1. Bon Secours Mercy Health, based in Cincinnati, seeks a director of managed care…

Insurers have until Sept. 30 to issue ACA Medical Loss Ratio rebates for 2024. The Medical Loss Ratio mandates insurance companies spend at least 80% or 85% of their premium dollars on medical care, not administrative expenses or profits. If…

Dan Kueter is the CEO of UnitedHealthcare’s employer and individual insurance business, an $80 billion division and the nation’s largest company that offers health coverage to employers nationwide. Mr. Kueter has been with the company since 2001 and has served…

PacificSource will no longer serve 100,000 Medicaid members in Lane County — which includes Eugene, Ore. — after failing to reach an agreement with the Oregon Health Authority, PacificSource Vice President of Medicaid Programs Erin Fair Taylor told Becker’s. “We…

Aging in place, medical care access and economic insecurity are the top three social factors that affect aging experience, according to Alignment Health’s “2025 Social Threats to Aging Well in America Survey.” Over 2,200 adults age 65 or older completed…

In one of the largest shifts in the Medicare Advantage landscape in recent years, Health Care Service Corporation has nearly quadrupled its Medicare Advantage membership after closing on a $3.3 billion acquisition of Cigna’s Medicare business in March.  The deal,…