The last of 15 defendants have been sentenced in Santa Clara, Calif. for their roles in a $40 million statewide insurance scam involving "overpriced and unneeded" telehealth prescriptions and medical devices.
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About 60 million people—nearly one in five Americans—live in rural areas and depend on their local hospitals for care. But rural American health care is fragile business.
CMS proposed a slight decrease in Medicare Advantage benchmark payments for 2025.
Six payers are among Fortune's annual list of the World's Most Admired Companies.
UnitedHealthcare's regional CEOs are responsible for employer and individual plan operations across large geographies and usually have extensive experience with the company.
The Cigna Group reached a deal to sell its Medicare business to Health Care Service Corp. for $3.3 billion.
Some hospitals and health systems are paring the number of Medicare Advantage plans with which they contract, seeking payer partners that align on clinical and financial outcomes.
The Blue Cross Blue Shield Association named Kathy Paro vice president of strategic execution and partnerships.
Challenges loom for Medicare Advantage in 2024, with payers reporting rising medical costs and lower growth expectations for the year.
Open enrollment for the ACA exchanges is finished in most states and a record 21.3 million people are enrolled — a 30% increase year over year, or 5 million people.