Payer

Humana saved $11 billion through value-based care in 2023 compared to fee-for-service Medicare. 

In 2025, the Medicaid program is facing another period of uncertainty.

In 2024, health insurers made 482 updates to their public and members-only websites.

UnitedHealth Group raised concerns with the SEC after hedge fund manager Bill Ackman suggested the company's profitability could be "massively overstated," Bloomberg reported Feb. 5. 

Elevance Health has more than 60 food-as-medicine programs across its health plans, according to a new report. 

For the third year in a row, Colorado lawmakers have advanced a bill that would explore the feasibility of a statewide universal healthcare payment system. 

KLAS Research, a healthcare IT data and insights company, named its "Best in KLAS" payer tools for 2025.

Prior authorization reforms remain a major advocacy priority for provider trade groups in 2025, and several state lawmakers have also introduced legislation to bring changes to the process.

The largest Medicaid managed care provider in the U.S. is declaring the redeterminations era over. 

Cigna has agreed to pay $2.9 million to settle a class-action lawsuit alleging it failed to reimburse members for COVID-19 testing.