Independence Health Group, the parent company of Independence Blue Cross, reported a net loss of $239 million in 2024. The company’s consolidated revenue was $32 billion, up $1 billion compared to 2023. Independence cited cost pressures in its Medicaid and…
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UCare reported an operating loss of $504 million in 2024 amid rising costs in its Medicare Advantage and managed Medicaid businesses, the Minnesota Star Tribune reported April 3. The company posted revenue of nearly $6.3 billion, a margin of about…
CMS has fined seven payers a total of more than $430,000 for violating Medicare requirements related to Part D prescription drug benefits. The insurers were penalized April 1 for errors within their formulary and benefit administration, coverage determinations, and appeals…
Artificial intelligence (AI) has dominated conversations among health plans and providers because of its potential to transform the industry. From predictive models for disease onset to chatbots answering member questions, the number of potential AI applications are innumerable. Yet, not…
A group of UnitedHealth Group shareholders is withdrawing a proposal submitted for the 2025 proxy that requested the company’s management analyze how its business practices affect access to care and public health. The group, Interfaith Center on Corporate Responsibility, is…
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Blue Cross of Idaho will lay off 135 employees after the Idaho Department of Health and Welfare awarded dual-eligible Medicare/Medicaid contracts to UnitedHealthcare and Molina Healthcare. A Blue Cross spokesperson told Becker’s April 4 that the company partnered with the…
The Justice Department is urging a federal court to allow a decade-old lawsuit against UnitedHealth Group to continue. In documents filed April 2 in the U.S. District Court for the Central District of California, Justice Department attorneys argued that a…
Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has eliminated 110 positions to “reduce administrative costs as medical and pharmaceutical trends continue to climb to unprecedented levels.” The cuts affect employees at all levels of…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Adventist Health, based in Roseville, Calif., seeks a managed care manager in Glendale,…
Startup Medicare Advantage plans accounted for 1.9% of total MA enrollment in 2025, according to a report from Chartis. This rate represents an increase from 1.6% in 2024 and 0.8% in 2020. Gold Kidney Health Plan, a company offering plans…