Payer

One in four people in the United States struggle with mental health, and leaders agree that today's system lacks the resources to support them. Issues such as prolonged wait times, inadequate insurance coverage, and a scarcity of providers across the…

Enrollment on the ACA marketplace reached 16.6 million consumers as of Dec. 18. 

Three Democratic U.S. senators are asking the Government Accountability Office to investigate the costs of Georgia's Medicaid work requirement program, KFF Health News reported Dec. 18. 

ICHRA broker platform Remodel Health has raised more than $100 million in growth funding.

Startup insurer Sidecar Health has inked a transparent pricing agreement with The Ohio State University Wexner Medical Center.

Our healthcare system badly lags other industrialized nations in terms of what we spend and the outcomes we achieve, and the culprit is fairly obvious: we spend five times our peer nations on administrative expenses. How bad is it? Our doctors…

From antitrust challenges from the federal government over proposed acquisitions, to industrywide disputes over Medicare Advantage star ratings, these are 12 key insurance industry lawsuits filed or settled in 2024:

New York City must pay for the cost of any plan it offers to its retired employees, the state's appeals court ruled, complicating its path to implementing a Medicare Advantage plan. 

Payers partnered with Google, Instacart and other tech companies in 2024. 

Sanford Health Plan and Lincoln, Neb.-based Bryan Health will launch a joint Medicare Advantage plan in 2026.