Payer

Medicaid redeterminations are underway, and many experts say the process is going worse than expected. 

A New York City plan to implement Medicare Advantage for retirees is being challenged in court again, and federal lawmakers are pressing the largest Medicare Advantage insurers on claims denials. 

Hawaii has the highest share of residents that work for an employer that offers health insurance, while Wyoming has the lowest share, according to a health coverage report published by insurance trade group AHIP in April.

California has the most residents with a Medicare supplement plan, while Hawaii has the least, according to a health coverage report published by insurance trade group AHIP in April.

Florida has the most residents with individual health coverage through a broker or the ACA exchange, while Alaska has the least, according to a health coverage report published by insurance trade group AHIP in April.

Friday Health Plans is shuttering its business nationwide after several states moved to pause new enrollments or regulate the company's finances.

Medicare overpaid millions of dollars for beneficiaries who were in skilled nursing facilities or hospital inpatients, according to an audit from HHS' Office of Inspector General. 

The insurance segment of Highmark Health reported $130 million in operating income for the first three months of the year, according to a company earnings report posted May 31.

Democratic lawmakers in California are frustrated with Gov. Gavin Newsom over how he plans to use funding that originates from fines against those without health coverage, the Los Angeles Times reported May 31.

A group of retired New York City employees are suing Mayor Eric Adams and other city officials in an attempt to block the city's planned switch to an Aetna Medicare Advantage plan for the 250,000 retired city workers and dependents…