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…
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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…
Blue Cross and Blue Shield of Kansas City (Mo.) and Highmark, both nonprofit independent licensees of Blue Cross Blue Shield, are planning to affiliate, according to a Dec. 11 news release. Blue KC will retain its local leadership and headquarters…
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…
Denials are rising. Work is piling up. And hiring more staff isn’t a sustainable solution. For today’s revenue leaders, small optimizations aren’t enough. It takes a new model — one where AI agents, robots and staff operate in sync to…
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UnitedHealth Group continues to be the largest health insurer in the U.S., with nearly 45 million members in 2025, according to the Peterson-KFF health system tracker. The data is from Mark Farrah Associates and includes enrollment across the individual market,…
Health plans are facing rising claim volumes, staffing challenges, and a surge in rework. Traditional automation, tied to individual applications, can’t keep up. Agentic automation offers a better way. By unifying AI agents, software robots and humans in a coordinated…
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Amy Schulman will join Elevance Health’s board as an independent director Jan. 12, 2026, according to a Dec. 10 news release. She will serve on the audit and finance committees. Ms. Schulman is currently a managing partner at the venture…