Payer

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.

Anthem Blue Cross and its foundation have pledged an initial $10 million in grants for disaster response efforts amid the ongoing wildfires in Los Angeles County. 

Blue Shield of California is the latest Blue Cross Blue Shield company restructuring to keep up with the rapidly evolving payer landscape. 

The Supreme Court said Jan. 10 it would hear the landmark case that challenges a federal task force's authority to require insurers to cover preventive care services under the ACA.

A group of shareholders requested UnitedHealth Group management analyze how its business practices affect access to care and public health. 

Centene has named Alan Silver president of its Ambetter Health Solutions business, which focuses on ICHRA. 

More than 3 million new enrollees signed up for plans on state and federal ACA marketplaces for 2025.