The Latest

Anthem Blue Cross’ commercial and ACA health plans in California have been awarded Health Equity Accreditation from the National Committee for Quality Assurance through July 28, 2028. Anthem’s Medi-Cal plan previously earned the NCQA’s Health Equity and Health Equity Plus…

Peak Health is planning its largest expansion to date in the Medicare Advantage market, more than doubling its potential footprint in its home state and moving into Pennsylvania for the first time. “We’re looking to expand substantially. We will be…

Blue Cross and Blue Shield of Massachusetts reported a net loss of $129.7 million on revenue of $2.6 billion (-4.9% net margin) in the second quarter.  Year-to-date, the company has reported a net loss of $92.6 million on revenue of…

Georgia regulators are fining health insurers more than $20 million for failing to comply with state and federal mental health parity laws. Insurance Commissioner John King said Aug. 15 that the penalties follow examinations that uncovered more than 6,000 violations…

With recent breakthroughs in artificial intelligence (AI), health plans are at a precipice of change. At Optum, we’re leveraging emerging technologies to drive payment accuracy—but it’s just the starting point. We believe AI has the potential to completely transform the…

Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to Kaiser members.  The Providence complaint reviewed by Becker’s was filed April 11 in…