Payer

The medical cost challenges that have challenged insurers in 2024 will not be going away in 2025, UnitedHealth Group executives said. 

Though Medicare Advantage beneficiaries are more likely to have coverage of vision, dental and hearing services, they are not more likely to use these services than their peers in traditional Medicare, a study published Jan. 14 in JAMA Network Open…

Optum Rx will pass 100% of the rebates it negotiates for drugs onto its consumers by the end of 2028, UnitedHealth Group CEO Andrew Witty told investors.

UnitedHealth Group's CEO, Andrew Witty, said the company is committed to reducing prior authorizations and improving customer satisfaction on the company's first investor call since the murder of UnitedHealthcare's previous CEO, Brian Thompson. 

Centene's 'Ohana Health Plan has partnered with homeless services provider Hope Services Hawaii on a new residential program for integrated clinical care. 

UnitedHealth Group reported record revenue in 2024, but profits declined as the company continues to grapple with costs associated with the February cyberattack on Change Healthcare and headwinds within its insurance business, according to the company's year-end earnings report released…

Two relatively new insurers in the Medicare Advantage market saw spikes in enrollment for 2025 

CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage star ratings. 

Solera Health has received $40 million in Series E financing, co-led by Health Care Service Corp., Cobalt Ventures, Horizon Mutual Holdings, and Adams Street.

Texas has the highest Medicaid spending as a percentage of total state expenditures, while Wyoming has the lowest, according to KFF.