Payer

Climate change is becoming an increasingly urgent challenge for the health insurance industry.

Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments. 

Medicaid could spend $29.9 billion on drugs to treat type 2 diabetes and weight loss, according to a report from HHS' Office of Inspector General. 

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: