Oscar Health is moving its Florida-based employees from traditional group medical plans to Custom Health Option and Individual Care Expense arrangements — formerly known as individual coverage health reimbursement arrangements — in 2027. The company confirmed the move, called CHOICE…

Priority Health is launching a third-party administrator solution to self-funded employers in Michigan in 2027. The offering, called PHP TPA Services, was developed by Physicians Health Plan of Northern Indiana, which Priority acquired in 2024. The TPA will be available…

“UnitedHealth Group should not be allowed to exist in the form that it currently does.” That was late-night TV host John Oliver’s verdict in his Sept. 20 episode on the inner workings of UnitedHealth Group, digging into a dramatic multi-year…

SCAN Health Plan is expanding into Oregon through a partnership with The Springs Living, an independent-living, assisted-living and memory care provider for older adults. The expansion brings the Medicare Advantage insurer into Oregon’s Clackamas and Washington counties. SCAN and The…

LHC Group, a home health and hospice provider owned by UnitedHealth Group’s Optum, has disclosed a data breach tied to a vishing attack that exposed patient information. LHC Group said it became aware April 7 that an employee may have…

The Cigna Group is partnering with OpenAI to integrate AI into clinical workflows, with a first focus on cancer care. Under the collaboration announced Sept. 23, OpenAI’s tools will be built into workflows across Accredo Specialty Pharmacy and the insurance…

UnitedHealthcare, Cigna and Centene are among the initial participants in a national shared provider credentialing program, launching in the fall. CertifyOS, a provider data intelligence company, announced the program Sept. 23. The initiative aims to standardize credentialing and verification, speed…

Under HR 1, many lawfully present immigrants will face narrower Medicaid and CHIP eligibility policies on Oct. 1. According to a Sept. 22 KFF brief, some lawfully present immigrants could lose coverage, as a result. To be eligible for Medicaid…

CMS said Sept. 22 that it canceled plan year 2026 ACA policies covering 760,000 people. CMS canceled 315,000 policies covering these individuals Aug. 31. According to federal rulemaking records — set to publish in the Federal Register on Sept. 23…

The Labor Department is narrowing its enforcement focus on health plans’ compliance with federal mental health parity requirements, prioritizing three areas it considers highest-risk for participants while easing enforcement of newer requirements tied to ongoing litigation. The department’s Employee Benefits…