Payer

Connecticut enrolled a record 157,246 residents in marketplace plans for 2026, a 4% increase over last year, even as national ACA enrollment fell by more than 1 million people. The state’s marketplace, Access Health CT, announced the results Feb. 19.…

Humana’s board of directors declared a $0.885 per share dividend to be paid April 24.  The dividend will be paid to all shareholders of record as of the close of business March 27, according to a Feb. 19 Humana news…

Medicare Advantage now covers about 55% of eligible beneficiaries nationwide — more than 35 million people — but health systems are confronting a question that until recently felt almost taboo: What happens when participation in the country’s fastest-growing Medicare program…

Recently, payers and providers have been engaging in a slew of transparency campaigns, with some aiming to “expose” pricing and denial concerns. For example, Hospital Watch has come to the forefront, shifting blame to hospitals. “Hospital Watch is a watchdog…

Optum has launched Value Connect, an AI-powered platform designed to help payers and providers operationalize value-based care models by combining clinical, operational and financial data into a single system. The platform uses AI across quality measures, utilization patterns and risk…

One in 10 Medicare Advantage enrollees were forced to disenroll from their health plan heading into 2026 due to insurer exits from the market, a tenfold increase from historical averages, according to a study published Feb. 18 in JAMA. The…

BCBS Michigan saved $67 million and $80 million in 2024 and 2025, respectively, through biosimilar use, the insurer reported Feb. 17. The company began moving members from Humira and Stelara to alternatives like Simlandi and Yesintek in 2025. Currently, 99%…

The Indiana Hospital Association is aiming to “expose abusive insurer practices” through its Access Denied campaign, a Feb. 17 news release said. The initiative includes a web portal addressing care denials, amplifies media coverage of denials and prompts people to…

Minnesota’s ACA exchange, MNsure, saw an 8% drop in private health insurance enrollment this year, according to a Feb. 10 news release. When the annual enrollment period ended Jan. 15, 139,251 Minnesotans had 2026 coverage through the exchange, versus 151,512…

Imagine360’s new chief product officer, Nilima Rajkumar, has concerns with pricing transparency in healthcare, specifically how traditional insurers may go off of hospitals’ chargemasters. “[Insurers] are offering you a discount, but it’s like, a discount off of what?” she said…