Payer

The year 2024 marks a turning point for healthcare transparency in the United States. Regulations like the Transparency in Coverage Rule (TCR) aim to empower patients with cost information, allowing them to make better informed decisions about their healthcare. However,…

There are now more than 20 million Americans enrolled through the individual health insurance exchange marketplace (HIX) and growing. A product originally designed to provide coverage for the uninsured and those caught between having too much to qualify for Medicaid,…

When it comes to medical benefits management, finding the right partner is crucial. Safeguarding and improving members’ health while effectively supporting providers is paramount to a successful strategy. An exceptional partner should align with your goals and embody five key…

Few states are adding coverage of GLP-1 drugs for weight loss, Centene executives said. 

Centene reported nearly $1.2 billion in net income in the first quarter and a more than 18% decrease in Medicaid membership year over year, according to its first-quarter earnings posted April 26.

UnitedHealth Group CFO John Rex was the highest-paid CFO of a major insurer in 2023. 

The Cigna Group's board authorized the company to pay a cash dividend of $1.40 to be paid on June 20. 

Humana is expanding its use of Cohere's prior authorization platform for diagnostic imaging and sleep services. 

Humana expects to exit Medicare Advantage markets in 2025, company executives told investors. 

Humana reported $741 million in net income in the first quarter of 2024.