Payer

Blue Cross and Blue Shield of North Carolina has restructured to become a subsidiary of a new parent holding company, CuraCor Solutions.

At least seven Blue Cross Blue Shield companies reported a financial loss in 2024, citing rising medical utilization and drug costs. Seven BCBS plans reporting losses in 2024: BCBS Michigan reported an operating loss of $1.7 billion and an operating…

Most Medicare Advantage enrollees rate supplemental benefits as important, but less than half report using dental or vision benefits each year, according to a report from the Commonwealth Fund. 

Dozens of health systems and other provider groups have filed new antitrust lawsuits against the Blue Cross Blue Shield Association and its 33 independent entities, alleging anticompetitive practices that led to suppressed payments to providers. 

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Alignment Healthcare's membership grew more than 58% in 2024, driving the Medicare Advantage company to nearly 190,000 members.

A special master has recommended a more than decade-old lawsuit against UnitedHealth Group be thrown out, which alleges the company overcharged the federal government through Medicare Advantage claims.

Blue Cross Blue Shield of Michigan reported a loss of $1.02 billion on enterprise revenue of $40.6 billion in 2024, driven by rising utilization of expensive medical services and costs for prescription and specialty drugs.

Minnesota Gov. Tim Walz has proposed shifting the cost of managing the state's ACA reinsurance program from the state to private insurers, along with raising the state's tax on health maintenance organizations.

Excellus BlueCross BlueShield posted $25.6 million in net income for 2024, the Buffalo News reported March 3.