2025 is shaping up to be a rocky year for payers’ finances. At least seven Blue Cross Blue Shield plans reported losses in 2024, which could persist into 2025. In April, UnitedHealth Group cut its earnings guidance for 2025, citing…
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A former Centene executive is suing the company over what he called “wrongful, anti-competitive, and bullying behavior” related to a noncompete agreement. The plaintiff, who served as vice president of pharma relations and business strategy at specialty pharmacy AcariaHealth (acquired…
One in three Americans receives health coverage through one of 33 independent Blue Cross Blue Shield companies. Here are 101 things to know about BCBS’ corporate structure, history and more. This story was first published in April 2023 and last…
Centene posted $1.3 billion in net income in the first quarter, per its earnings report published April 25. Total revenues in the first quarter were $46.6 billion, up 15.4% year over year. The company reaffirmed its year-end adjusted EPS guidance…
UnitedHealth Group president and CFO John Rex was the highest-paid payer CFO in 2024. Mr. Rex was paid $18.7 million in total compensation, according to proxy filings from the company. Here’s how CFOs of the largest payers were compensated in…
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Cigna’s board of directors has declared a $1.51 per share cash dividend to be paid June 18. The dividend will be paid to shareholders of record as of the close of business June 3, according to an April 23 news…
North Dakota Gov. Kelly Armstrong signed a bill April 23 aimed at reforming the prior authorization process in the state. The bill requires insurance plans to provide a decision within seven calendar days for nonurgent prior authorization requests and 72…
On April 11, CMS fined three PACE organizations for failing to meet essential program requirements, including inadequate service provision, poor tracking and documentation of services, and failure to ensure recommended services were either provided or properly documented with valid reasons…
There may be a link between rising insurance premiums and increased utilization of services, particularly across the Medicare Advantage space. In its first quarter earnings report, UnitedHealth Group reduced its year-end earnings outlook amid rising use of physician and outpatient…
UnitedHealth Group CEO Andrew Witty was the highest-paid payer CEO in 2024. Mr. Witty earned $26.3 million in total compensation in 2024, up from $23.5 million in 2023. Most CEOs’ pay increased slightly from 2023, while Elevance Health CEO Gail…