California has reached a $1.3 million settlement with Sedera and Sedera Medical Cost Sharing Community to resolve allegations that they advertised and sold "sham" health insurance plans to more than 2,000 people.
Payer
JPMorgan Chase is the latest large corporation to face a lawsuit from employees alleging mismanagement of its employee prescription drug benefits plan, which is administered by CVS Health.
Cigna Group CEO David Cordani earned $23.3 million in 2024.
Highmark Health Plans reported a $166 million operating loss in 2024, driven by rising medical costs.
The federal government will spend $84 billion more on Medicare Advantage enrollees than if they were enrolled in fee-for-service plans, according to new estimates from the Medicare Payment and Advisory Commission.
New Mexico lawmakers have introduced legislation that would require insurance coverage for medical cannabis to treat certain debilitating medical conditions.
Blue Cross and Blue Shield of Massachusetts is the latest insurer to sue CMS over what it says was an unfair calculation of its 2025 Medicare Advantage star ratings.
Some municipalities in North Carolina are looking for a new insurance carrier amid the NC League of Municipalities’ Health Benefits Trust announcing it will shut down on June 30, WITN reported March 11.
President Donald Trump signed an executive order in February that directs HHS, and the Labor and Treasury departments to "rapidly implement and enforce" price transparency regulations that were introduced during his first term.
In 2025, Blue Shield of California launched its Pharmacy Care Reimagined strategy, a new initiative aimed at dismantling the traditional PBM model to provide greater transparency, cost control, and improved access to medications for its 4.8 million members.