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The health insurance industry has committed to a series of new policies aimed at simplifying and reducing prior authorization requirements, but a majority of adults say they haven’t heard anything about the initiative, nor do they expect it to make…

From accelerating efforts to reform the prior authorization process to launching a collaboration with Epic’s MyChart, here are 10 updates on Humana that Becker’s has reported since June 12: 1. Humana is accelerating its efforts to reform the prior authorization…

Centene posted a $253 million loss in the second quarter as the company continues to face challenges across its ACA, Medicaid and Medicare Advantage businesses. “We are disappointed by our second quarter results, but we have a clear understanding of…

New York state will bar insurers from compensating brokers for enrolling members in the state’s essential plan, beginning in 2026.  The essential plan is available to low-income adults in New York who do not qualify for Medicaid.  Andrew Biernant, vice…

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Humana is ramping up its efforts to reform the prior authorization process with a set of new policies that will reduce volumes for providers, speed up decisions, and increase transparency. Becker’s sat down with Caraline Coats, senior vice president for…

Molina Healthcare reported a 15% decline in net income year over year, according to the company’s second quarter earnings posted July 23. Total revenue in the second quarter was $11.4 billion, up 16% year over year.  Total net income in…

Providers are winning the majority of independent dispute resolution cases under the No Surprises Act, but recent court rulings have limited enforcement of awards and new lawsuits allege providers are misusing the IDR process for financial gain. The NSA was…

Massachusetts has rejected ACA rate proposals for 2026 from BCBS Massachusetts and WellSense Health Plan. WellSense is the insurance arm of Boston Medical Center, which requested a 16.2% rate increase for the individual and small employer market next year. BCBS…

Oscar Health is expecting to operate at a loss in 2025 as costs climb in the individual market.  The company reported preliminary results for the second quarter of 2025 on July 22, expecting a loss from operations of $200 million…

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