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Editor’s note: The bill was held without a committee vote on Feb. 23. It is not expected to advance this session. Original article: Arizona providers could face license suspension or revocation for submitting too high of payment offers during No…

CMS outlined next steps for its Medicare Advantage provider directory and shared plans to “beta launch” a broader National Provider Directory later this year, according to a Feb. 18 document. The agency has structured the initiative in three phases. The…

A federal appeals court has handed a win to Cigna, affirming the dismissal of a class action lawsuit that alleged the insurer’s exclusion of weight loss drug coverage amounted to disability discrimination against members with obesity. The U.S. Court of…

An insurance brokerage president and the CEO of a marketing company were each sentenced to 20 years in prison for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. What…

The Justice Department and the state of Ohio on Feb. 20 filed a civil antitrust lawsuit against OhioHealth, alleging the system used anticompetitive contract provisions to drive up healthcare costs for patients and employers in central Ohio. Four things to…

The insurance industry has shed more than 54,000 jobs since the end of 2024, according to new data from the Bureau of Labor Statistics. Three notes:

Connecticut will continue contracting with Anthem Blue Cross and Blue Shield and Quantum Health to administer the state’s employee health plan and municipal partnership plan, which together cover more than 250,000 state and municipal workers, retirees and their dependents. Under…