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Supreme Court to hear ACA preventive care coverage case
The Supreme Court said Jan. 10 it would hear the landmark case that challenges a federal task force’s authority to require insurers to cover preventive care services under the ACA. -
Activist shareholders press UnitedHealth on delayed, denied care
A group of shareholders requested UnitedHealth Group management analyze how its business practices affect access to care and public health. -
Centene names first ICHRA president
Centene has named Alan Silver president of its Ambetter Health Solutions business, which focuses on ICHRA. -
States with the largest ACA enrollment increases | 2025
More than 3 million new enrollees signed up for plans on state and federal ACA marketplaces for 2025. -
ACA hits record-breaking 23.6M enrollees
HHS announced a record-breaking 23.6 million Americans have enrolled in health coverage for 2025 through the Affordable Care Act marketplace. -
The first state to cover Ozempic under the ACA
North Dakota has become the first state to cover weight loss drugs under the ACA for diabetes and obesity. -
UnitedHealth Group in the headlines: 10 updates
Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Dec. 13: -
Massachusetts court orders UnitedHealth-owned insurers to pay $165M in penalties
A Massachusetts court has ordered three UnitedHealth-owned insurers to pay over $165 million for engaging in widespread deceptive practices that misled thousands of consumers into purchasing supplemental health insurance they didn't need. -
10 largest D-SNP plans
L.A. Care Health Plan is the largest dual special needs plan in the country with more than 247,000 million enrollees, according to KFF. -
Aetna hits drugmakers with price-fixing lawsuit
Aetna has filed a lawsuit against 20 major pharmaceutical companies, accusing them of engaging in a broad price-fixing conspiracy that artificially inflated the prices of certain generic drugs. -
BCBS North Carolina, Change Healthcare agree to $1.7M settlement in robocall lawsuit
Blue Cross and Blue Shield of North Carolina and UnitedHealth's Change Healthcare have agreed to pay $1.67 million to settle a class action lawsuit accusing them of using automated technology to send voice messages to individuals without their consent. -
Former Elevance exec sues over alleged age discrimination
A former chief human resources officer at Elevance Health, Troy Henagan, has filed a lawsuit against the company in a Georgia federal court, alleging age discrimination after his termination in June 2024. -
7 Medicare Advantage study findings to know
Recent studies examined how Medicare Advantage beneficiaries use hospice care and dental benefits, as well as the reasons behind differences in diagnosis coding between traditional Medicare and MA enrollees. -
UnitedHealth named world's largest insurer for 10th straight year
UnitedHealth Group is the world's largest insurer by net premiums written for a 10th year in a row, according to AM Best's annual ranking published Jan. 2. -
Florida Blue latest to sue over Medicare Advantage star ratings
Florida Blue is the latest insurer to sue CMS over its Medicare Advantage star ratings. -
10 largest Medicaid managed care plans
L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF. -
Streamline your formulary management: 2025 USP Drug Classification
For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can help payers and other stakeholders manage their drug formulary more efficiently. While several classification resources are available, the U.S. Pharmacopeia (USP) provides a drug classification system focused only on U.S. FDA approved drugs for use in outpatient care settings. This premium tool includes reporting and tracking terminology, as well as codes for crosswalking against other classification systems. -
40 payer execs' industry outlook for 2025
The majority of health plan executives are focused on growth and have a favorable outlook for 2025, according to a Dec. 12 survey from the Deloitte Center for Health Solutions. -
Humana's 2024 in 10 headlines
Humana welcomed a new CEO in 2024 amid rising Medicare Advantage costs. -
Elevance Health's 2024 in 10 headlines
Elevance Health added several acquisitions in 2024.
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