The Superior Court of Fulton County, Georgia placed Sonder Health Plans into receivership with the state’s insurance department on Aug. 13 due to the insurer’s reported “insolvency and inability to raise additional funds from outside investors.” Sonder was placed into…
Payer
Highmark New York is the lowest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on…
The Trump administration is rolling out a Medicaid enrollment oversight initiative that will direct states to remove individuals who cannot verify their citizenship or immigration status. CMS said Aug. 19 it has started providing states with reports identifying Medicaid and…
UPMC has the highest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on Aug. 19.…
Anthem Blue Cross’ commercial and ACA health plans in California have been awarded Health Equity Accreditation from the National Committee for Quality Assurance through July 28, 2028. Anthem’s Medi-Cal plan previously earned the NCQA’s Health Equity and Health Equity Plus…
Peak Health is planning its largest expansion to date in the Medicare Advantage market, more than doubling its potential footprint in its home state and moving into Pennsylvania for the first time. “We’re looking to expand substantially. We will be…
Blue Cross and Blue Shield of Massachusetts reported a net loss of $129.7 million on revenue of $2.6 billion (-4.9% net margin) in the second quarter. Year-to-date, the company has reported a net loss of $92.6 million on revenue of…
Georgia regulators are fining health insurers more than $20 million for failing to comply with state and federal mental health parity laws. Insurance Commissioner John King said Aug. 15 that the penalties follow examinations that uncovered more than 6,000 violations…
With recent breakthroughs in artificial intelligence (AI), health plans are at a precipice of change. At Optum, we’re leveraging emerging technologies to drive payment accuracy—but it’s just the starting point. We believe AI has the potential to completely transform the…
Mountain Health Co-Op, which insures more than 11,000 people in Wyoming, is exiting the state at the end of 2025, Cowboy State Daily reported Aug. 14. Mountain Health CEO Blair Fjeseth told the news outlet that several factors contributed to…
